DPE Construction Employment Application

Employment Application
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?
Department
Asphalt Department
Underground Department
Underground
Truck Department
Trucking
Shop Department
Shop
Grading Department
Grading/Earthwork
Concrete Department
Concrete
PSI Department
Westmoor Department
Materials Department
Position applying for
Other
Examples: Any, General Labor , Open
PERSONAL
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
NAME

First NameMiddle NameLast Name
EMAIL

Confirmation Emailexample@example.com
Cellphone
Format: (000) 000-0000.
Street
Apt
City / State / ZIP
Home Phone
Format: (000) 000-0000.
Referred By
What type of machinery can you operate?
Other
EDUCATION
High School
Date Graduated

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
College
Date Graduated

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Other
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date Graduated

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Special Skills or Training
That may qualify you for work with our company
DRIVER'S LICENSE
Do you have a Driver's License?
Do you have any of the following endorsements?
Do you have any Restrictions?
Do you have a preference?
How many years of Commercial driving experience do you have ?
State
Driver's License Number
Type
What Class? A, B, C, D, G, M
Expiration Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Class D (Operator License): The standard license for driving most passenger cars, SUVs, and small trucks that do not require a commercial or motorcycle license.

Class G (Graduated License): For drivers under 18 who have completed the required instruction permit and driver education.

Class M (Motorcycle): Specifically for motorcycles and motor-driven cycles.

Class A, B, or C (Commercial Driver License - CDL): Required for heavy vehicles, buses, or those carrying hazardous materials.
EMPLOYER 1 EMPLOYMENT (Start with most recent)
Employer Name
Job Title
Supervisor's Name
Phone
Format: (000) 000-0000.
City / State
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Starting Salary
Ending Salary
Reason for Leaving
Duties Included
EMPLOYER 2
Employer Name
Job Title
Supervisor's Name
Phone Number
Format: (000) 000-0000.
City / State
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Starting Salary
Ending Salary
Reason for Leaving
Duties Included
EMPLOYER 3
Employer Name
Job Title
Supervisor's Name
Phone Number
Format: (000) 000-0000.
City / State
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Starting Salary
Ending Salary
Reason for Leaving
Duties Included
EMPLOYER 4
Employer Name
Job Title
Supervisor's Name
Phone Number
Format: (000) 000-0000.
City / State
From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Starting Salary
Ending Salary
Reason for Leaving
Duties Included
REFERENCE 1
Name
Phone
Format: (000) 000-0000.
Years Known
REFERENCE 2
Name
Phone
Format: (000) 000-0000.
Years Known
REFERENCE 3
Name
Phone
Format: (000) 000-0000.
Years Known
APPLICANT'S STATEMENT
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

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Upload Resume

Cancelof
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.
Please Select What Department and What Position.
Should be Empty:

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