BENEFITS OF WORKING AT PEEK BROTHERS CONSTRUCTION Family Owned and Operated Paid Medical for all employees Offers Medical, Dental, Vision, & 401k Safety Bonus Program OPEN POSITIONS Utilities Pipe Foreman Dirt Foreman Grade Setter Heavy Equipment Operator Utilities Construction Laborer Heavy Equipment Field Mechanic Fleet Mechanic Fuel/Lube Technician Parts Runner/Shop Assistant Commercial Class A Truck Driver Commercial Class B Water Truck Driver Safety Coordinator EMPLOYMENT APPLICATION FORM Please enable JavaScript in your browser to complete this form.Position Applying For *Email Address *Personal DataName *FirstMiddleLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome Telephone NumberBusiness Telephone NumberCellular Telephone Number *Date you can start work *Salary Desired *Do you have a High School Diploma/GED? *YesNoPosition InformationAre you authorized to work in the U.S. on an unrestricted basis? *YesNoHave you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment). *YesNoIf yes, explainHave you been told the essential functions of the job or have you viewed a copy of the job description listing the essential functions of the job? *YesNoCan you perform these essentials of the job with or without reasonable accommodation? *YesNoQualifications Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.School NameDegreeAddress/City/StateSchool NameDegreeAddress/City/StateSchool NameDegreeAddress/City/StateSpecial Skills Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.Special SkillsReferences Please list three professional references not related to you, with full name, address, phone number, and relationship. If you do not have three professional references, then list personal, unrelated references.Reference NameAddress/City/StatePhoneRelationshipReference NameAddress/City/StatePhoneRelationshipReference NameAddress/City/StatePhoneRelationshipHave you ever worked for Peek Brothers Construction?YesNoIf so, when?Work History Start with your present or most recent employment and work back.Job TitleStart Date (mo./day/yr.)End Date (mo./day/yr.)Company NameSupervisor's NamePhone NumberCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhio OklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipDutiesReason for leavingStarting SalaryEnding SalaryMay we contact your present employer?YesNoJob TitleStart Date (mo./day/yr.)End Date (mo./day/yr.)Company NameSupervisor's NamePhone NumberCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhio OklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipDutiesReason for leavingStarting SalaryEnding SalaryJob TitleStart Date (mo./day/yr.) End Date (mo./day/yr.) (copy)Company NameSupervisor's NamePhone NumberCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhio OklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZipDutiesReason for leavingStarting SalaryEnding SalaryU.S. Military ServiceBranchFromToType of dischargeIf other than honorable, explainI certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the employer to make an investigation of any of the facts set forth in this application and release the employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party. Signature *Clear SignatureSubmit
