Spezio Property Services, Inc.
Employment Application Form

Todays Date:

Position Applying For: Clerical & Administration General laborer Mechanic Sales/Marketing Salt Truck Driver - Seasonal Sidewalk Crew - Seasonal Snow Plowing - Seasonal Supervisor/Manager Sweeper Operator

Salary Desired: Per Hour Weekly Annual

Personal Information:

Last First Middle

Number Street City State Zip

Social Security No. Phone No. Mobile/Home Home Mobile

Do you have a valid driver's license? Yes No Driver's License No.

State of issue: Operator Commercial (CDL) Expiration date:

Have you had any accidents during the past five years? Yes No How many? 0 1 2 3 4+

Have you had any moving violations during the past five years? Yes No How Many? 0 1 2 3 4+

What is your means of transportation to work? Personal Vehicle Public Transportation Family/Friend

If under 18, please list age:

Days/hours available to work: No Pref.

Sat Sun Mon Tue Wed Thur Fri

Employment desired: FULL-TIME ONLY PART-TIME ONLY FULL- OR PART-TIME

How many hours can you work weekly? 40+ 35-40 30-34 25-30 -24 Can you work nights? Yes No

Education: Highest level completed

TYPE OF SCHOOL GED High School Bus. or Trade School Professional School College NAME OF SCHOOL

LOCATION (Complete mailing address)

NUMBER OF YEARS COMPLETED 1 2 3 4 4+ DID YOU GRADUATE ? Yes No

HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes No

If yes, explain number of conviction(s), nature of offense(s) how recent were offense(s)?

Please list two references other than relatives or previous employers.

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Military:

HAVE YOU EVER BEEN IN THE ARMED FORCES? Yes No

ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Yes No

If "Yes" what Branch N/A US Army USN USMC USAF USCG

Date Entered Discharge Date Honorably Discharged? N/A Yes No

Work Experience:

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Name of Employer #1 Address

Name of last supervisor

Employment dates from to

Pay or salary Per hour Weekly Annually

Phone number Your last job title:

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of Employer #2 Address

Name of last supervisor

Employment dates from to

Pay or salary Per hour Weekly Annually

Phone number Your last job title:

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact your present employer? Yes No

Did you complete this application yourself? Yes No If not, who did? N/A Spouse Friend Agency Parent

PLEASE READ THE APPLICATION FORM WAIVER CAREFULLY

In exchange for the consideration of my job application by Spezio Property Services, Inc. (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Spezio Property Services, Inc., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /Operations Manager of the Company. Both the undersigned and Spezio Property Services, Inc. may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice.

I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.

I further understand that continued employment may be based on the successful passing of jobrelated physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

Signature of applicant: Date:

Spezio Property Services, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.