The Matrix Group, Inc.
Employment Application


Please fill out the application below and click the 'Send Form' button at the bottom of the page to submit.  After submitting the application you will be asked to complete a profile questionnaire.

Contact Info

First name:*   Last name:*

Street Address: 		  City:
 
State:

Zip code: 		  Phone number:*
  
E-mail:*

*Required field


How did you hear about The Matrix Group?
Multiple items may be chosen
 Newspaper(Specify):
Referral(Specify):
Search Engine(Specify):
Another Web Site(Specify):
Other(Specify):

If hired, do you have reliable means of transportation to get to work?
 Yes
 No

Are you a US citizen?
 Yes
 No

If not, do you have the legal right to work in the US?
 Yes
 No

Acceptable pay rate range:

What position(s) are you applying for? *MANDATORY*

Please tell us your work-related experience and background for the positions(s) you are applying for:


Are you seeking:
 Temporary
 Full Time
 Part Time

Please list your days/hours of availability:


Are you available to work weekends, if needed?
 Yes
 No

Are you currently employed?
 Yes
 No

When would you be able to start?

Have you ever applied for employment at The Matrix Group, Inc. before?
 Yes
 No

If yes, under what name?

Have you ever worked for The Matrix Group, Inc. before?
 Yes
 No

List any friends or relatives employed by this company:

Are you on layoff and subject to recall?
 Yes
 No

Have you ever worked in a marketing research department, a research firm or an advertising agency?
 Yes
 No

If yes, list below:

Company:    Company #1
Position:
City:
Phone:
Supervisor:

Company:   Company #2
Position:
City:
Phone:
Supervisor:


Why are you seeking a position at this time?


What is the job you have enjoyed most and why?


What interests you about the market research profession and why?


The market research industry is always changing and clients and their needs are always changing. New challenges are constantly being presented.

Why are you well-suited to work in an ever-changing environment?


What are the top three most important factors you are looking for in a position with our company?




List any outside interests including organizations you are active in:
What was the last grade of school you had the opportunity to complete?
 Less than High School
 High School Graduate
 Some College or Technical School
 College Graduate
 Graduate School

List schools, including location:
High School:

College/University:

College/University:

College/University:

Major(s):

Minor(s):

Other education/training:

Work History:

Company:
Address:

Phone:
Job Title:
Reason for leaving:
Supervisor's name:
Supervisor's title:
Start date:
End date:
Starting salary:
Ending salary:
Describe duties briefly:


Company:
Address:

Phone:
Job Title:
Reason for leaving:
Supervisor's name:
Supervisor's title:
Start date:
End date:
Starting salary:
Ending salary:
Describe duties briefly:


Company:
Address:

Phone:
Job Title:
Reason for leaving:
Supervisor's name:
Supervisor's title:
Start date:
End date:
Starting salary:
Ending salary:
Describe duties briefly:


May we contact the employers listed above?
 Yes
 No

If no, tell us which one(s) you do not wish us to contact and why.

Please provide us three professional references
(not personal references like friends or family)


Professional Reference 1:

Name:
Title/Professional relationship:
Phone:
Address:

Occupation:

Professional Reference 2:

Name:
Title/Professional relationship:
Phone:
Address:

Occupation:

Professional Reference 3:

Name:
Title/Professional relationship:
Phone:
Address:

Occupation:


Special Skills


Hardware computer skills:


Software computer skills:


How many words per minute can you type?

List other skills and/or language experience you have acquired:


Have you ever been convicted of a felony?
 Yes
 No

If yes, state the nature of the offense and disposition of the case. Include dates and places: NOTE: Felony convictions or the existence of a criminal record does not constitute an automatic bar to employment.



NOTICE:
The Matrix Group, Inc., is an At-Will, Equal Opportunity Employer:  Federal law prohibits discrimination on the basis of race, color, religion, sex, or national origin, as well as discrimination on the basis of age against persons between the ages of 40 and 64 inclusive.  Federal regulations also prohibit government contractors from discrimination on the basis of handicap.  Additionally, some state and city legislation prohibits discrimination because of age, handicap, marital status, sexual preference, race, color, religion, sex, or national origin.  Consult competent counsel for more interpretation.