| First Name: |
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| Last Name: |
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| Address: | |
| City: | |
| State: | |
| Zip: | |
| Phone Number: | |
| E-Mail Address: | |
| How did you hear about Matador: |
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| If hired, can you provide proof that you are eligible to work in the United States: |
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| Are you at least 16 years old: |
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| Within the last 7 years, have you been convicted of, completed a sentence, or parole for any felony or misdemeanor*: |
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| If you have been convicted of a crime, please give date, place, and nature of crime: |
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| WORK EXPERIENCE | |
| Previous Employer (1) Name: | |
| Previous Employer Address: | |
| Previous Employer City: | |
| Previous Employer State: | |
| Previous Employer Zip: | |
| Previous Employer Start Date (mm/yyyy): | |
| Previous Employer End Date (mm/yyyy): | |
| Previous Employer Highest Position Held: | |
| Previous Employer Job Description: |
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| Previous Employer Supervision Name and Title: | |
| Previous Employer Reason for Leaving: |
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| Previous Employer (2) Name: | |
| Previous Employer Address: | |
| Previous Employer City: | |
| Previous Employer State: | |
| Previous Employer Zip: | |
| Previous Employer Start Date (mm/yyyy): | |
| Previous Employer End Date (mm/yyyy): | |
| Previous Employer Highest Position Held: | |
| Previous Employer Job Description: |
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| Previous Employer Supervision Name and Title: | |
| Previous Employer Reason for Leaving: |
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| EDUCATION | |
| High School Name: | |
| Last Year Attended: | |
| Level Obtained: |
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| College Name: | |
| Last Date Attended (mm/yyyy): | |
| Degree Obtained: |
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| Other Education: |
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| AVAILABILITY | |
| Will you work days: |
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| Will you work nights: |
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| Will you work weekends: |
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| Will you work holidays: |
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| Will you work overtime if necessary: |
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| Are there any other times you CANNOT work: |
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| If hired, when can you begin working: | |
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| REFERENCES | |
| Reference (1) name: | |
| Reference phone number: | |
| Years acquainted with reference: | |
| Reference (2) name: | |
| Reference phone number: | |
| Years acquainted with reference: | |
| Reference (3) name: | |
| Reference phone number: | |
| Years acquainted with reference: |
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| AGREEMENT AND CERTIFICATION |
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| I certify that all information on this form is
correct and true. I certify that I have accounted for all of my work experience
and training on this application within the last 7 years. I further understand
that this is an application for employment and that no employment contract is
being offered. I understand that any employment with Matador Mexican Grill is
At Will in accordance with Colorado employment law and would not be for any
fixed period of time and that, if employed, I may resign at any time, for any
reason, or Matador Mexican Grill may terminate my employment at any time for any
reason. I understand that if I am employed, such employment is for an
indefinite period of time and that Matador Mexican Grill can change wages,
benefits, and conditions at any time. I understand that any false answers or
statements made by me on this application may be grounds for refusal of
employment, invalidate my employment or, if employed, will be the grounds for
immediate discharge and render me ineligible for any Matador Mexican Grill
benefits. I acknowledge my agreement with the above and agree to take any
examinations that Matador Mexican Grill may require including testing for
illegal or unauthorized substances. I understand that any offer of employment
or if I am employed, sustained employment, is contingent upon my successfully
passing the examination requirements. I have read and understand the above.
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(12/8/2022)
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| * Note: Applicants in AK, CA, CO, DE, IL, MD, MA, OH, OK, OR, RI, UT and VA need not disclose information pertaining to sealed or expunged conviction records. |