Job Application - Initial Employment Process

Gold Medal Environmental (GME) and subsidiaries comprised of Apple Valley Waste Services, Park’s Garbage, Hometown Disposal, Morgan Sanitation, and Envirowaste Disposal Services with operations servicing multiple locations in Maryland, New Jersey, Pennsylvania, and West Virginia. Together, we form the foundation and building blocks of ONE COMPANY/ONE TEAM!

Job applicants are considered for all positions without regard to race, creed, color, national origin, sex (including gender identity, sexual orientation, and pregnancy), age, religious belief, veteran status, disability or genetic information. Gold Medal Environmental will not tolerate any form of discrimination or sexual harassment.

Personal Information:

(Incomplete information could disqualify you from further consideration. Please complete all areas.)

Are you 18 years old or older?

Yes
No

Have you worked for this company before?

Yes
No

Are you legally authorized to work in the United States?

Yes
No

If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening Test?

Yes
No

Are you a Veteran?

Yes
No

Position:

Position You Are Applying For

Employment Desired

Full Time
Part Time
Seasonal/Temporary

Due to business/operational needs, you may be required to work temporarily out of another location within 100 miles. Are there any reasons that would

Yes
No

Will this be secondary employment?

Yes
No

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

Yes
No

Primary Location:

(Please select the state and location for position you are applying.)

State

AVW Maryland
AVW West Virginia
AVW Pennsylvania

Operating Location

Selinsgrove
Chambersburg
Mount Union
Keyser
Morgan
Hagerstown
Kearneysville
Baltimore

Work History:

Beginning with your most recent position, please provide your last 3 positions/employers listing all of your work experience including military service. Be sure that the information included in this section demonstrates that you meet the experience qualifications for the job for which you are applying.

Job Number 1:

(Current/Most Recent)

May we contact Employer 1?

Yes
No

Employer 1 Dates of Employment

Employer 1 Descriptions of Duties

Job Number 2:

May we contact Employer 2?

Yes
No

Employer 2 Dates of Employment

Employer 2 Descriptions of Duties

Job Number 3:

May we contact Employer 3?

Yes
No

Employer 3 Dates of Employment

Employer 3 Descriptions of Duties

Job Number 4:

May we contact Employer 4?

Yes
No

Employer 4 Dates of Employment

Employer 4 Descriptions of Duties

Education/Skill History:

Please list all vocational, technical, colleges and universities you have attended. Attach resume and/or additional sheets if necessary

Highest grade of school you have completed?

High School Information

College/University Information

Graduate School Information

Specialized Training Relevant to Job:

A copy of any relevant professional or trade license required.

Other Trade (including Military) Information

References

List three people unrelated to you whom we may contact for information concerning your qualifications.

General Information:

The Americans with Disabilities Act of 1990 as amended prohibits employers from discriminating against any qualified person on the basis of a disability. Gold Medal Environmental (GME) makes reasonable accommodations during all aspects of the employment process. GME also makes reasonable accommodations in the work environment to enable a person with a disability to perform the essential job functions and to participate equally with co-workers without disabilities. However, GME can only make reasonable accommodations when it is aware of a disability. It is up to you to inform the prospective employer if you need a reasonable accommodation. GME reserves the right to request documentation to support your request for a reasonable accommodation.

PLEASE READ CAREFULLY BEFORE SIGNING:

Gold Medal Environmental is an equal opportunity employer and does not discriminate in employment practice, or with regard to race, creed, color, national origin, sex (including gender identity, sexual orientation, and pregnancy), citizenship status, ancestry, age, marital status, physical or mental disability, genetic information, veteran or military status.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Gold Medal Environmental to hire me. If I am hired, I understand that either Gold Medal Environmental or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Gold Medal Environmental has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Gold Medal Environmental a true and complete information on this application. No requested information has been concealed. I authorize Gold Medal Environmental to contact references provided for employment reference checks.

I authorize my former employers to release any information they may have concerning my employment record and I release the Gold Medal Environmental and all previous employers listed above from all liability whatsoever that may issue from securing this information.

I further authorize representatives of Gold Medal Environmental to verify any and all information contained in this application.

I CERTIFY that the information on this application is complete and accurate, to the best of my knowledge. I understand that any misleading or incorrect information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause and may render this application void for the denial of employment and will be just cause for immediate termination if employed.

Applicant Signature*

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.