Work for Us Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Date of Birth *Email *Are you able to perform the essential functions of the job for which you are applying? *YesNo (Lifting up to 50lbs and being on your feet for up to 8 hours a day)EMPLOYMENT DESIREDStore Location *Position DesiredDate can Start *Are you legally eligible to work in the U.S? *YesNoCan you work weekends? *YesNoSalary Desired *Have you applied before? *YesNoWill you pass a Criminal Background Check? *YesNoAre you employed? *YesNoIf so, where? *If so may we contact your present employer? *YesNoFormer EmployersFrom *To *Company Name *Position *Salary *Contact Phone *EducationHigh SchoolDid you Graduate? *YesNoFrom Where: *College/Trade SchoolDid you Graduate? *YesNoFrom Where: *I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Surplus City, Inc. to hire me. If I am hired, I understand that either Surplus City, Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Surplus City, Inc. has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Surplus City, Inc. true and complete information on this application. No requested information has been concealed. I authorize Surplus City, Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Submit