Career Opportunities

AVALON HOLDINGS CORPORATIONS & AFFILIATES
APPLICATION FOR EMPLOYMENT
(AN EQUAL OPPORTUNITY EMPLOYER AND A DRUG-FREE WORKPLACE)

PERSONAL INFORMATION

DATE:*

NAME*

First Middle Last

ADDRESS*

Street Address Address Line 2 City State ZIP Code

PHONE*

EMAIL ADDRESS*

EMPLOYMENT DESIRED

POSITION*

DATE YOU CAN START*

SALARY DESIRED

ARE YOU EMPLOYED NOW?*

Yes
No

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?*

Yes
No

HAVE YOU EVER APPLIED OR WORKED FOR AVALON BEFORE?*

Yes
No

WHERE?*

WHEN?*

REFERRED BY

EDUCATION

NAME OF HIGH SCHOOL ATTENDED*

DID YOU GRADUATE?*

Yes
No

SUBJECTS STUDIED

COLLEGE

DID YOU GRADUATE?

Yes
No

DEGREE

TRADE BUSINESS OR CORRESPONDENCE SCHOOL

DID YOU GRADUATE?

Yes
No

GENERAL

SPECIAL SKILLS

ACTIVITIES (CIVIC, ATHLETIC, ETC.)

US MILITARY OR NAVAL SERVICE

RANK

PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES

REFERENCES GIVE THE NAME OF THREE PERSONS, NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

1. NAME*

First Last

ADDRESS*

Street Address Address Line 2 City State ZIP Code

YEARS ACQUAINTED*

2. NAME*

First Last

ADDRESS*

Street Address Address Line 2 City State ZIP Code

YEARS ACQUAINTED*

3. NAME*

First Last

ADDRESS*

Street Address Address Line 2 City State ZIP Code

YEARS ACQUAINTED*

FORMER EMPLOYERS (LIST BELOW LAST TWO EMPLOYERS WITH LAST ONE FIRST)

1. DATE MONTH AND YEAR FROM/TO

NAME OF EMPLOYER

ADDRESS

Street Address Address Line 2 City State ZIP Code

SALARY

POSITION

REASON FOR LEAVING

2. DATE MONTH AND YEAR FROM/TO

NAME OF EMPLOYER

ADDRESS

Street Address Address Line 2 City State ZIP Code

SALARY

POSITION

REASON FOR LEAVING

ARE YOU EITHER A U.S. CITIZEN OR AN ALIEN AUTHORIZED TO WORK IN THE UNITED STATES?*

Yes
No

ARE YOU 18 YEARS OF AGE OR OLDER?*

Yes
No

If not, your employment is subject to verification of the minimum legal age requirements and a minor work permit will be required.

WITHIN THE PAST SEVEN (7) YEARS, HAVE YOU EVER BEEN CONVICTED, PLED GUILTY OR PLED "NO CONTEST" TO A FELONY OR MISDEMEANOR OTHER THAN A TRAFFIC VIOLATION?*

Yes
No

IF YES, PLEASE EXPLAIN

PLEASE EXPLAIN ANY GAPS IN EMPLOYMENT OF MORE THAN 6 MONTHS

WERE YOU EVER DISCHARGED BY ANY COMPANY?*

Yes
No

IF YES, GIVE NAME OF COMPANY(IES) AND REASON

Avalon Holdings Corporation and Affiliates ("Avalon") is at-will employer. This means if you are hired, your employment is for an indefinite period of time, and it is subject to termination by you or Avalon with or without cause, with or without notice, and at any time.

The at-will employment status of an employee may be modified only in an executed employment agreement between the employee and the President of Avalon. Except for such a written agreement, no officer or other employee of Avalon has the apparent or actual authority to change your at-will status through either a written document or verbal statement.

Avalon, is an Equal Opportunity Employer. All employment decisions at Avalon are made without regard to actual or perceived race , color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), sexual orientation (including status, gender identity, and gender expression), national origin, alienage, ancestry, age, military status, veteran status, physical or mental disability, family medical history, genetic information (including testing and characteristics), marital status, family or parental status, or any characteristic protected by applicable federal, state, and local laws or regulations.

Avalon's Equal Employment Opportunity policy governs all aspects of employment, including but not limited to, recruitment, hiring, selection, job assignment, promotions, transfers, compensation, discipline, termination, layoff, access to benefits and training, and all other conditions and privileges of employment.

I understand that Avalon Holdings Corporation and Affiliates is an at-will and equal opportunity employer. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if I am employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigations of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you.

I AGREE THAT THIS SIGNATURE IS LEGALLY BINDING.*
Signature (Check Box )

DATE

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EMPLOYMENT DESIRED

EDUCATION

GENERAL

REFERENCES GIVE THE NAME OF THREE PERSONS, NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

FORMER EMPLOYERS (LIST BELOW LAST TWO EMPLOYERS WITH LAST ONE FIRST)

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