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Name:
Address:
Phone Number:
Cell Number:
Position Desired:
Possible Start Date:
Best Time To Contact
Why should we hire you?
Weekends and holidays are our busiest times - Can you work these times?
Describe your personality.
What gives you satisfaction in a job?
Please list your 2 previous jobs, include Company Name, Location, Job Description, Dates, Previous Employer contact name and number.
Last grade completed.
Have you ever been convicted of a crime (excluding misdemeanors and traffic violations)? Please describe.
Please list an emergency contact w/ phone #






I hereby testify that I have answered these questions truthfully and completely. If employed, any misstatement (or untruth) may result in my termination. Matterhorn, Inc. reserves the right to contact Any of the listed references. I agree and understand that if hired I will be on a temporary probation period

To determine my performance and acceptance of an offer of employment does not obligate Matterhorn, Inc. to continue my employment in the future.

Please initial & date in the field to the right.

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