DelDOT Snow & Ice Maintenance Program
Name:
Driver’s License State/Number:
*If you have an out of state driver’s license, you will need to supply a copy of your driving record*
Last four of Social Security Number:
Retired State Employee (DelDOT or other State agency)? Choose an item.
If yes, date retired:
Are you a current State Merit Employee? Choose an item.
If yes, please answer the below:
Division/Section:
Current Position Title:
Current Work Schedule: (i.e. M-F, 8:00-4:30)
Supervisor Name/Title:
Choose Duty: CDL Equipment Operator
List experience with snow & ice control:
Choose District: Choose an item.
If you are willing to work in more than one district, please list in order.
1. 3.
2. 4.
Select One
Select One
Select One
Select One