DPE Construction, Inc., DPE Materials, Inc., Pacific Steel, Inc., or Westmoor Electric, Inc.
1636 East 20th Street Yuma, Arizona 85365
(928) 783-7885
Fax (928) 343-1016

What Company are you applying for? *

FULL NAME*

FIRST and LAST name

Today's Date*

Date

Street*

Cellphone*

Apt

Home Phone

City / State / ZIP

EMAIL*

example@example.com

DPE Positions Available

Asphalt

Raker/Laborer
Heavy Equipment Operator (Various Equipment)
Asphalt Foreman
Asphalt Superintendent

Concrete

Laborer
Form Setter
Finisher
Concrete Foreman
Concrete Superintendent

Shop

Mechanic
Service Truck Driver ( CDL )

Trucking

CDL Driver
Water Truck Driver

Grading/Earthwork

Heavy Equipment Operator (Various Equipment)
Grade Checker
Grading Foreman
Grading Superintendent

Underground

Heavy Equipment Operator (Various Equipment)
Labor

DPE Materials Positions Available

Equipment Operator
Laborer
Plant Operator
Loader Operator

Maintenance
Truck Driver
Mechanic
Scale House Clerk

PSI Position Available	Westmoor Positions Available
Fabricator Forklift Operator Shop Laborer Welder	Apprentice Electrician Construction Electrician General Laborer Service Electrician

Position Applying for *

What Heavy equipment can you operate?

Other

Referred By

High School

hs

Date Graduated

Date

From

Date

To

Date

College

Date Graduated

Date

From

Date

To

Date

Other

From

Date

To

Date

Date Graduated

Date

Special Skills or Training

That may qualify you for work with our company

Do you have a Driver's License?*

YesNoCDL

State*

Driver's License Number*

Type*

Expiration Date*

Date

EMPLOYER 1 EMPLOYMENT (Start with most recent)

Employer Name

Job Title

Supervisor's Name

Phone

City / State

From

Date

To

Date

Starting Salary

Ending Salary

Reason for Leaving

Duties Included

EMPLOYER 2

Employer Name

Job Title

Supervisor's Name

Phone Number

City / State

From

Date

To

Date

Starting Salary

Ending Salary

Reason for Leaving

Duties Included

EMPLOYER 3

Employer Name

Job Title

Supervisor's Name

Phone Number

City / State

From

Date

To

Date

Starting Salary

Ending Salary

Reason for Leaving

Duties Included

EMPLOYER 4

Employer Name

Job Title

Supervisor's Name

Phone Number

City / State

From

Date

To

Date

Starting Salary

Ending Salary

Reason for Leaving

Duties Included

Name

Phone

Years Known

Name

Phone

Years Known

Name

Phone

Years Known

I certify that statements made by me on this form are true and correct. I understand that if employed, any false statement on this application can be considered cause for dismissal. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

Signature*

Date*

Date

Upload Resume

Please pick an Interview Date and Time that works for you. *

Once your application has been reviewed, we will contact you if we decide to move forward in the process.

Employment Application

PERSONAL

EDUCATION

DRIVER'S LICENSE

EMPLOYER 1 EMPLOYMENT (Start with most recent)

EMPLOYER 2

EMPLOYER 3

EMPLOYER 4

REFERENCE 1

REFERENCE 2

REFERENCE 3

APPLICANT'S STATEMENT