Before completing this form, have you read the Company policy of nondiscrimination marked with an asterisk '*' on the left side of this page?

Yes

Today's Date

First Name

Middle Initial

Last Name

Street

City

State

Zip Code

Best Phone Number to Reach You

Email Address

US Citizen?

Yes

If no, do you have legal right to work in the US?

Yes

Are you 18 years of age or older?

Yes

Which job are you applying for?

What Day Will You Be Able To Start?

Please indicate the highest level of education completed.

High School / GED

Some College

Bachelors or Masters Degree

Work Experience #1 - Please include employer name, dates to and from worked, job title or duties and reason for leaving.

Work Experience #2 - Please include employer name, dates to and from worked, job title or duties and reason for leaving.

Work Experience #3 - Please include employer name, dates to and from worked, job title or duties and reason for leaving.

Are any of your relatives employed by at Matthews Auto?

If yes, please provide the name of the relative and location they work at if known.

Please indicate any other information you think would be helpful to us in considering you for employment, such as additional work experience, activities, accomplishments, etc. (Exclude all information indicative of age, sex, race, religion, color, national origin, or disability or any other classification protected by State or Federal non-discrimination laws.)

Reference #1 -First name, last name, address & phone number of someone we may contact who qualifies to evaluate your capabilities (Do not include relatives).

Reference #2 -First name, last name, address & phone number of someone we may contact who qualifies to evaluate your capabilities (Do not include relatives).

Reference #3 -First name, last name, address & phone number of someone we may contact who qualifies to evaluate your capabilities (Do not include relatives).

If employed, I agree to comply with the rules and regulations of the Company. I understand that the Company and its affiliates follow an employment at will policy and that I or the Company may terminate my employment at any time, or for any reason consistent with applicable state or federal law. This employment at will policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the CEO or President of the Company. I certify that all answers or statements I have made on this application or accompanying resume or other supplementary materials are true and correct to the best of my knowledge and that I have not knowingly withheld any information that would affect my application unfavorably. I acknowledge that I have read the Notice to All Applicants regarding Article 23-A of the New York Correction Law. If I have been convicted of a crime and am asked to disclose my criminal conviction history at the time of an interview and I fail to disclose this information, the Company reserves the right to terminate my employment, should I, in fact, be hired. I acknowledge that I will be honest and truthful during the employment interview process. I authorize this Company to conduct any necessary and reasonable investigation with respect to my application and release this Company, my former employers and references from any liability from damage caused by giving and receiving information as to my application for employment. It is understood that any false statement or misrepresentation on this application, resume or supplementary materials will be cause for refusal to hire or for immediate dismissal from employment at any time during the period of my employment.

Check Yes stating that you understand the above statement.