Fillable Printable PUERTO RICO APPLICATION FOR EMPLOYMENT
Fillable Printable PUERTO RICO APPLICATION FOR EMPLOYMENT
PUERTO RICO APPLICATION FOR EMPLOYMENT
PUERTO RICO APPLICATION FOR EMPLOYMENT
COSTCO WHOLESALE IS COMMITTED TO EXCELLENCE IN MEMBER
SERVICE. OUR EMPLOYEES REFLECT THIS COMMITMENT.
We believe that Costco Wholesale provides a great shopping experience and is fun for our members
and our employees.
We believe that if you don't want to do your best, Costco Wholesale is not the place for you.
We believe in hiring individuals with a high energy level and a positive attitude.
We believe that our employees are the best in the retail industry.
We believe in recognizing and rewarding positive behavior and performance.
We insist on courteous, friendly and responsible behavior and performance.
We believe "good enough" isn't.
We believe in helping you achieve your personal and pr ofessional goals and are committed to
promoting our supervisory and management positions primarily from within the company.
We take pride in the appearance of our employees and have established grooming standards and
dress codes to ensure the maintenance of a professional image.
We pride ourselves on our safe working environment and have safety policies, which include
substance abuse testing (when appropriate under state statutes) that protect every employee.
We do perform previous employer reference checks and background checks, when appropriate
under state statutes.
We offer the best compensation and benefits package in the industry.
We want you to work hard and have fun!
If this sounds like the environment for you, please fill out the application form on the
following pages!
Location Instructions: when you receive a completed application, immediately separate the last
page (Applicant Identification Record) from the rest of the application. Please see the last page
for additional instructions.
FORM #PR02US_PR_Eng1/20/11
PUERTO RICO APPLICATION FOR EMPLOYMENT
(PLEASE PRINT PLAINLY)
Career Opportunity Preference Sheet
Date of Application: __________________
Name: ____________________________________________________________
Signature: _________________________________________________________
Costco offers a variety of rewarding entry-level caree r opportunities. Please plac e an “X” in the “Select” column for the
position(s) that best match your skills and abilities and for which you wish to appl y.
Note that Costco may not have open opportunities for each department or position you select.
Select
X
Typical Entry-Level Positions and Job Summaries
Usual work shift(s)
may range from:
Merchandise Stocker– Stocks and straightens merchandise for sale in vari ous
areas in the warehouse.
4:00 a.m. – 11:00 p.m.
Bakery Assistant – Mixe s, assists with baki ng, and wraps bakery items for sale.
Clean up and inventory d uties.
4:00 a.m. – 10:00 p.m.
Food Court Assistant – Prepares and sells food an d drinks to customers. Pulls
and stocks supplies and ingredie nts, cleans kitchen area and eating area. Provides
prompt and courteous member service.
4:00 a.m. – 10:00 p.m.
Gas Station Attendant– Monitors gas pumps, cleans up spills, assists members,
and responds to potential emergencies. Provides a high level of member service.
5:00 a.m. – 10:00 p.m.
Service Deli Assistant –Prepares, packages a nd labels meals, entrees, salads,
party trays, rotisserie chicken, ribs, sushi, an d sliced meats and cheeses. Assembles
take-and-bake pizzas.
5:00 a.m. – 10:00 p.m.
Cart Assistant –Retrieves carts and flatbeds from parking area. Keeps lot area a nd
front of building free of debris. Assists members in loading merchandise. Provides a hig h
level of member service.
8:00 a.m. – 10:00 p.m.
Front End Assistant – Packs member orders into boxes and transf ers items to a
separate cart for Cashiers. Performs clean-up, cart retriev al, mercha ndise restocking,
and member assistance as directed. Provide s a high level of member service.
8:00 a.m. – 10:00 p.m.
Member Service Assistant– Actively greets incom ing members, verifies
membership card. Keeps entr y counts. Performs warehouse safety and security checks.
Checks member receipts at exit and thanks member. Provides a high level of member
service.
8:00 a.m. – 10:00 p.m.
Membership Assistant – Processes membership sign ups and ren ewals.
Educates members and potential members about membership, warehouse, and credit
programs. Provides a high level of member service.
8:00 a.m. – 10:00 p.m.
(Depot) Assistant – Lo ads, unloads, and pallet stacks goods from trucks and
conveyor lines. Moves goods using manual pallet jack. Cleans depot, checks and sorts
pallets
5:00 a.m. – 5:00 p.m.
(Depot) Fleet Driver – Drives split-axle tractor/trailer to deliver goods from depot to
warehouses an d depots. Hauls empt y trailers, trailers with pallets, and vendor loads
back to depot.
24 hours
(Business Delivery) Order Picker– Pulls merchandise from stock for high-
volume busine ss delivery orders. Loads item s on pallet and pulls with manual or electric
pallet jack. Boxes small cooler and freezer it ems.
4:00 p.m. – 3:00 a.m.
(swing shift)
(Business Delivery) Delivery Driver – Drives commercial truck with air brakes
and hydraulic li ft to deliver merchandise to businesses. Unloads orders from truck,
collects payments, issues return credits, and completes pa perwork.
6:00 a.m. – 5:00 p.m.
Any Available Opportunity
4:00 a.m. – 11:00 p.m.
Costco may have other op portunities avai lable for experienced candidates with skills a nd abilities from prior, related work. Experienced
candidat es are encouraged to indicate their interest in specific skilled positions on the following pages of the Costco Jo b Application Form.
Costco’s strong corporate culture is based on individual responsibi lity and initiative. We believe strongly in the synergy of ideas and are
committed to diversit y, equal employment opportunities, an d a drug- and alcohol-free workplace.
If you require assistance or a r easonable accommodation i n completing these application materials or any aspect of the application
process, please contact the Costco Location Manager at the location where you will be applying.
FORM #PR02US_PR_Eng1/20/11
PUERTO RICO APPLICATION FOR EMPLOYMENT
Please print plainly
Costco Wholesale provides equal opportunity in all areas of employment and does not discriminate against any individual
regardless of race, color, national origin, ancestry, sex, sexual orientation, gender identity or expression, religion, age, pregnancy,
disability, work-related injury, covered veteran status, political ideology, or on the basis of any other protected status.
NAME
DATE
LAST FIRST MIDDLE INITIAL
CURRENT ADDRESS
NUMBER/STREET CITY STATE ZIP
HOME PHONE NO ( ) WORK PHONE NO ( )
AREA CODE AREA CODE
EMAIL ADDRESS
PREFERRED METHOD OF CORRESPONDENCE EMAIL PHONE
ARE YOU AGE 18 OR OVER? YES NO ARE YOU LEGALLY ABLE TO WORK IN THIS COUNTRY? YES NO
POSITION OR TYPE OF EMPLOYMENT DESIRED
WAGE DESIRED
ARE YOU WILLING TO WORK HOLIDAYS? (DO NOT INDICATE UNAVAILABILITY DUE TO RELIGIOUS PRACTICES.) YES NO
ARE YOU WILLING TO WORK EVENINGS? (DO NOT INDICATE UNAVAILABILITY DUE TO RELIGIOUS PRACTICES.) YES NO
ARE YOU WILLING TO WORK WEEKENDS? (DO NOT INDICATE UNAVAILABILITY DUE TO RELIGIOUS PRACTICES.) YES NO
AVAILABLE FOR FULL TIME PART TIME TEMPORARY DATE AVAILABLE
NAMES OF RELATIVES EMPLOYED BY THIS COMPANY
HAVE YOU EVER BEEN EMPLOYED BY OR APPLIED FOR EMPLOYMENT WITH THIS COMPANY? YES NO IF YES,
INDICATE COSTCO LOCATION WHERE EMPLOYED AND DATES OF EMPLOYMENT, OR LOCATION AND DATE OF APPLICATION
PERSONAL
INDICATE HOW YOU LEARNED OF THIS OPENING, PLEASE CHECK ONE:
BY OWN ACCORD AGENCY (NAME OF AGENCY) ADVERTISEMENT
EMPLOYEE REFERRAL (NAME OF EMPLOYEE)
OTHER
HAVE YOU BEEN CONVICTED OF A FELONY (or indictable offense in New Jersey) OR RELEASED FROM PRISON FOR A FELONY
WITHIN THE LAST 7 YEARS? Do not ans wer "Yes" if your conviction record has been annu lled, expunged, sealed, statutorily
eradicated, dismissed under a first offender' s law, pardoned, erased or impounded. *Note - The existence of a criminal history will not
automaticall y disqualify you from the job you are applying for, circumstances will be considered.
California applicants/residents : Do not answer “Yes” to questions regarding criminal convictions if your convicti on involved the
possession of marijuana AND it is more than 2 years old. You need not disclose a ny referral to, and participation in, any pre-trial or post-
trial diversion p r ogram.
Connecticut applicants/residents: You need not disclose any conviction record that has been erase d pursuant to sections 46b-146, 54-
76o or 54-142a of the Connecticut General Statutes. Records subject to erasure under these sections are records pertaining to a finding
of delinquency or that a child was a memb er of a family with service needs, an adju dication as a youthful offender, a criminal char ge that
was dismissed or nolled, or a criminal charge for which the person was found not gui lty or received an absolute pardoned conviction. Any
person whose records were erased within the meaning of these three sections may consider such events to have nev er occurred and
may so swear under oath.
Hawaii ap plicants/residents: Do NOT answer criminal history information before a conditi onal offer of employment is made.
Massachusetts applicants/residents: DO NOT answer this question d uring the initial applicati on stage or prior to any interview. You
may be required to provide some criminal history information later in the hi ring process.
Tennessee applicants: Have you been convicted of any crime involving moral turpitude (e.g., murder, all sex-related cri mes, illegal sale
of Schedules 1 and 2 co ntrolled substances, or embezzlement) within the last 10 years? Do not ans wer "Yes" if your co nviction record
has been annulled, expunged, sealed, pardoned, erased or impounded.
Washing t on applicants/residents: Do not answer "yes" if your conviction is more than 10 years old.
YES NO IF YES, PLEASE EXPLAIN
FORM #PR02US_PR_Eng1/20/11
FORM #PR02US_PR_Eng1/20/11
UNDER WHAT NAME (S) WILL YOUR SCH OOL OR COLLEGE TRANSCRIPTS BE LISTED?
You may exclu de any information which suggests or discloses race, color, religion/cre ed, sex, national o rigin, ancestry, age, disability,
veteran status, or an y other legally protected status.
TYPE OF
SCHOOL
SCHOOL NAME AND ADDRESS MAJOR SUBJECT
CIRCLE LAST YR
COMPLETED
IF GRADUATED,
GIVE DEGREE
HIGH SCHL
1 2 3 4
COLLEGE
1 2 3 4
GRAD SCHL
1 2 3 4
EDUCATION
OTHER
1 2 3 4
WHAT MACHINES OR EQUIPMENT CAN YOU OPERATE?
FORKLIFT
PALLET JACK
ELEC. PALLET JACK
FLOOR SCRUBBER
CREDIT CARD MACHINE
CASH REGISTER
AS400 / I-SERIES
PC – WORD
PC – EXCEL
10-KEY
FOOD PREP EQUIP
TIRE SHOP EQUIP
OPTICAL EQUIP
1 HR PHOTO EQUIP
COMM. BAKERY EQUIP
COMM. MEAT DEPT EQUIP
VAULT / CASH OFFICE EQUIP
OTHER:
CURRENT STATE OCCUPATIONAL LICENSES HELD:
SKILLS/TRAINING
PLEASE LIST YOUR EMPLOYERS
PLEASE PROVIDE US WITH THE FOLLOWING INFORMATION REGARDING YOUR PREVIOUS JOBS STARTING
WITH THE MOST RECENT. PLEASE LIST ALL FULL AND PART-TIME EMPLOYMENT, INCLUDING SELF-
EMPLOYMENT. YOU MAY INCLUDE VOLUNTARY POSITIONS IF YOU DESIRE.
You may exclude any information whi ch suggests or discloses race, color, religion/cre ed, sex, national origin, ance stry, a ge,
disability, veteran status or any other legally protected status.
PRESENT OR LAST
EMPLOYER
NEXT TO LAST
EMPLOYER
SECOND FROM LAST
EMPLOYER
THIRD FROM LAST
EMPLOYER
COMPANY NAME
ADDRESS
PHONE NUMBER
W/ AREA CODE
KIND OF WORK / JOB TITLE
DATE STARTED
DATE LEFT
WAGE – START / LAST
NAME OF SUPERVISOR
REASON FOR LEAVING
REFERENCE NAME
REFERENCE PHONE #
WORK HISTORY
Please use additional sheets if necessary. You may also be asked to provide additio nal work history.
FORM #PR02US_PR_Eng1/20/11 (Internal use only) Location #: _________
LOCATION INSTRU CTIONS: when you receive a completed application, immediately
separate this sheet from the rest of the application. Do not keep th is sheet with the
applicatio n a nd do not m ak e a copy – it is not needed for the application to be complete,
nor is the applicant required to fill it out. Send original sheet via intercompany mail to:
#99, HR Administration Department. Please write in y our location # below.
Applicant Identification Record
To comply with government regulations and reporting requirements, we request that you answer
the following VOLUNTARY questions. Refusal to provide this information w i ll not subject you to
any adverse treatment. All information provided will be held confidential.
Gender:
_____ Female
_____ Male
_____ I do not wish to provide this information
Are you Hispanic or Latino?
_____ Yes
_____ No
_____ I do not wish to provide this information
Race:
_____ American Indian or Alaska Native (Not Hispanic or Latino)
_____ Asian (Not Hispanic or Latino)
_____ Black or African American (Not Hispanic or Latino)
_____ Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
_____ Two or More Races (Not Hispanic or Latino)
_____White (Not Hispanic or Latino)
_____ I do not wish to provide this information
Applicant Name:___________________________________________________
Position Applied for:________________________________________________
Date:_____________________________________________________________
