top of page

Pacific Engineering Careers Form

We’re excited that you’re interested in joining our team! Our Job Application Form helps us get to know you, your skills, experiences, and what inspires you to be part of our mission. The information you share allows us to match your background with the right opportunities and ensure a fair and consistent hiring process for every applicant.


All information is kept confidential and used only for employment consideration. By completing this form, you’re taking the first step toward becoming part of a team that values integrity, collaboration, and innovation.

Birthday
Month
Day
Year
Are you a citizen of the United States of America?
If no, are you authorized to work in the United States
Have you worked for P.E.I. in the past?
Do you currently hold any security clearance?
Have you ever been convicted of, pled guilty or no contest to, or received deferred adjudication for a criminal offense?
Are there any criminal charges currently pending against you that have not yet been resolved?

Education

High School

College

Employment

List your last employer to date

First day Employed
Month
Day
Year
Last Date of Hire
Month
Day
Year
Can we contact this employer?

References

List three professional references (no friends or family members)

Emergency Contact

Equal Employment Opportunity Statement

Pacific Engineering Inc. is proud to be an Equal Opportunity Employer.We celebrate diversity and are committed to creating an inclusive environment for all team members. Employment decisions are made based on qualifications, merit, and business needs, without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable laws.

We also provide reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs in accordance with applicable law.

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Investors & Suppliers

Pacific Engineering Incorporation welcomes inquiries from investors and qualified suppliers interested in strategic collaboration. Please contact us to request additional information or discuss partnership opportunities.

Email: Don.Myers@pacificengineeringinc.com

Phone: 402.423.0046

Address: 1086 Saltillo Avenue Ste. 2 Roca, NE 68430 

© 2035 by Pacific Engineering Incorporated

|

|

bottom of page