SENSATIONAL TOUCH JANITORIAL A DIVISION OF CD INDUSTRIES, INC.

Employment Application EOE M/F

APPLICANT INFORMATION

Last Name First M.I. Date

Street Address Apartment/Unit #

City State ZIP

Phone E-mail Address

Date Available Social Security No. Desired Salary

Position Applied for

Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO

Have you ever worked for this company? YES NO If so, when?

Have you ever been convicted of a felony? YES NO If yes, explain

EDUCATION

High School Address

From To Did you graduate? YES NO Degree

College Address

From To Did you graduate? YES NO Degree

Other Address

From To Did you graduate? YES NO Degree

REFERENCES

Please list three professional references.

Full Name Relationship

Company Phone ( )

Address

Full Name Relationship

Company Phone ( )

Address

Full Name Relationship

Company Phone ( )

Address

PREVIOUS EMPLOYMENT

Company Phone ( )

Address Supervisor

Job Title Starting Salary $ Ending Salary $

Responsibilities

From To Reason for Leaving

May we contact your previous supervisor for a reference? YES NO

Company Phone ( )

Address Supervisor

Job Title Starting Salary $ Ending Salary $

Responsibilities

From To Reason for Leaving

May we contact your previous supervisor for a reference? YES NO

Company Phone ( )

Address Supervisor

Job Title Starting Salary $ Ending Salary $

Responsibilities

From To Reason for Leaving

May we contact your previous supervisor for a reference? YES NO

MILITARY SERVICE

Branch From To

Rank at Discharge Type of Discharge

If other than honorable, explain

ADDITIONAL INFORMATION

Have you ever been convicted of, or pleaded guilty to, a crime other than a minor traffic offense? IT IS VERY IMPORTANT THAT YOU LIST

EVERY ITEM CALLED FOR IN THIS QUESTION! A “yes” response will not necessarily preclude you from employment consideration. Failure

to disclose will preclude you from employment consideration. If yes, please explain on back page of the application.

____YES ___NO

Have you ever been discharged or requested to resign from any position due to misconduct, theft, or unsatisfactory performance?

If yes, please explain on back page of the application.

____YES ___NO

READ CAREFULLY

DISCLAIMER AND SIGNATURE

I certify that the foregoing answers are true and correct to the best of my knowledge, and understand that any misstatement or omission

as to any fact will constitute grounds for my immediate dismissal or rejection of my application. The correctness of all statements made in

this application may be investigated. In connection with such investigation, I authorized all former employers and other persons contacted

to release any and all information in their possession which has or may have a bearing on my suitability as a vendor, subcontractor or

member and I release all employers or other persons supplying such information from any and all liability.

Signature Date

DISCLAIMER AND SIGNATURE

Neither the acceptance of this application nor the subsequent entry into a type of vendor, subcontractor or member relationship either in

the position applied for or any other position, and regardless of the contents of any materials or information given pertaining to CD

Industries, Inc dba Sensational Touch Janitorial and its affiliates, shall serve to create an actual or implied contract of employment or to

confer any right to remain a vendor, subcontractor, or member of CD Industries, Inc dba Sensational Touch Janitorial or its affiliates, or

otherwise to change in any respect the employment at will relationship between it and the undersigned, and that the relationship cannot be

altered except by written instrument signed by the President of the Company. Both the undersigned and CD INDUSTRIES, INC, dba

Sensational Touch Janitorial, and or its affiliates may end the relationship at any time, without specified notice or reason, and without

liability by CD INDUSTRIES, INC, dba Sensational Touch Janitorial and or its affiliates to the undersigned except for earned wages or salary.

Signature Date

DISCLAIMER AND SIGNATURE

I recognize and acknowledge that the services performed at the assigned locations are for the benefit of CD INDUSTRIES, INC, dba,

Sensational Touch Janitorial, and all its affiliates. I fully commit to the services agreed upon and will not solicit, offer or conduct any venues

that are not connected to the above mentioned company or its affiliates. Any information received to be the contrary will result in

termination of our professional relationship and will prevent any future opportunity with such said company and legal actions will be

pursued.

Signature Date

EXPLANATION SECTION