Employer Information

Employer:  CLEAN SWEEP SUPPLY COMPANY INC

Address:  206 E Waters Ave

City/State/Zip:  Tampa, FL 33604

Telephone:  (813) 932-9564

It is the policy of CLEAN SWEEP SUPPLY COMPANY INC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as color, religion, gender, national origin, age, disability or veteran status.

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT

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CERTIFICATION

I certify that the information provided in this application Is truthful and accurate. I understand that providing false or misleading information will be the basis for rejecting my application or employment commences, immediate termination.

I authorize CLEAN SWEEP SUPPLY COMPANY INC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Manager, the employment relationship will be "at will". In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent representative or employee of CLEAN SWEEP SUPPLY COMPANY INC except in a specific written contract of employment signed on behalf of the organization by its Manager has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.