PRE-APPLICATION:
Personal -
First Name:
Last Name:
Social Security No.:
Address:
Zip Code:
License No.:
How long?:
Phone No.:
Exp. Date:
Position Seeking:
 FT:
PT:
Date Available:
Have you ever been convicted of a crime, other than minor traffic violations but including DUI, in the past 5 years?
 NO
YES
If YES, please explain :
Have you ever filed a Workers Comp. claim?
 NO
 If YES, for what?:
YES
Current physical status?
 POOR
EXCELLENT
 GOOD
Number of days absent from work last year?:
 NO
Do you have reliable transportation to work?
 YES
Work History -
Your present or most recent employer:
Phone Number:
Position:
 Ending Salary:
How long there?:
Reason for leaving?:
Work experience:
References -
THIS IS A DRUG FREE WORK
PLACE!  A DRUG TEST AND/OR
PHYSICAL MAY BE REQUIRED.
Name & Phone No.:
Name & Phone No.:
Name & Phone No.:
Applications will be kept on file for six months.
P.O. Box 735
Brandon, Florida  33509
Phn/Fax: 813.681.6718
Licensed and completely insured.
Discounted Sweeping Services since 1993
Why pay more???
TM
813-681-6718
813-681-6718
Copyright © 1993 - 2016, Sweeper Systems Inc., All Rights Reserved.