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

CODE Position applying for

Other

Examples: Any, General Labor , Open

Today's Date

Date

Name

First NameMiddle NameLast Name

EMAIL

example@example.com

Cellphone

Format: (000) 000-0000.

Street

Apt

City / State / ZIP

Home Phone

Format: (000) 000-0000.

Referred By

What Heavy equipment can you operate?

Other

High School

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?

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

Date

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

Date

To

Date

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

Date

To

Date

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

Date

To

Date

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

Date

To

Date

Starting Salary

Ending Salary

Reason for Leaving

Duties Included

Name

Phone

Format: (000) 000-0000.

Years Known

Name

Phone

Format: (000) 000-0000.

Years Known

Name

Phone

Format: (000) 000-0000.

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

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

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.

Please Select What Department and What Position.

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