Fillable Printable Starbucks Application for Employment Form
Fillable Printable Starbucks Application for Employment Form
                        Starbucks Application for Employment Form

APPLICATION FOR EMPLOYMENT 
Starbucks Coffee Company is an equal opportuni ty employer, dedicated to a policy of no n-discrimination in employment on any basis including race, color, 
age, sex, religion, national origin, the presence of mental, physical, or sensory disability, sexual orientation, or any other basis prohibited by federal, or 
provincial law. 
Please complete entire a pplication to ensure processing. 
PERSONAL INFORMATION 
(Please print) 
Name  
Last            First                                   Middle   Date (M/D/Y) 
Are you 16 years of age or older?    Have you ever been convicted of a criminal  Are you legally able to work in Canada? 
(proof of age may be required if hired)  offense for which a pardon has not been granted?   
      Yes_______       No_______             Yes_______       No_______           Yes_______       No_______ 
Present Address  Street City Province Postal Code 
Permanent Address  Street City Province Postal Code 
Phone Number  Daytime Evening  Referred By 
EMPLOYMENT DESIRED (if you are applying for a retail hourly position, please keep in mind that the availability of hours may vary.) 
Position   Location/Department   Salary Desired  Date You Can Start 
Sunday  Monday  Tuesday  Wednesday  Thursday   Friday  Saturday 
Start:  Start:  Start:  Start:  Start:  Start:  Start: 
Specify hours available for each day of the week 
End:  End:  End:  End:  End:  End:  End: 
Are you able to work overtime?____________ 
Have you ever worked for Starbucks Coffee Company?__________  If yes, when? _______________ Which store/department?________________________ 
EDUCATION          Circle Last      Did You    Subjects Studied and 
 Name and Address of School         Years Completed   Graduate?   Degrees/Diplomas Received 
High School 
1    2    3    4  Y     N   
Post Secondary 
1    2    3    4  Y     N   
Post Secondary 
1    2    3    4  Y     N   
List skills relevant to the position applied for_______________________________________________________________________________ ___________ 
SKILLS For  Offi ce/Ad ministra tive positions only  Typing WPM:_____________________  10-Key: 
 Yes  No 
Computer Proficiency: 
 Word for Windows   Excel   Others: ________________________________________________________ 
Have you ever visited a Starbucks Coffee location? Where? Describe your experienc e. ______________________________________________________  
___________________________________________________________________________________________________________________________  
___________________________________________________________________________________________________________________________  
Why would you like to work for Starbucks Coffee Company?____________________________________________________________________________  
___________________________________________________________________________________________________________________________  
___________________________________________________________________________________________________________________________  
Describe a specific situation where you have provided excellent customer service in your most recent position. Why was this effective? ________________  
___________________________________________________________________________________________________________________________  
___________________________________________________________________________________________________________________________  
___________________________________________________________________________________________________________________________  
SKU # 

FORMER EMPLOYERS  List below current and last three employers, starting with most recent one first. Please include any non-paid/volunteer 
  experience which is related to the job for which you are applying. Please complete even if you attach a resume. 
Date (M/D/Y) 
1
From 
Position 
SKU # 
To 
Current Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly  
Starting__________________  
Ending __________________ 
If hourly, average # 
of hours per week__________ 
Reason For Leaving 
Duties Performed 
Supervisor's Name  Phone Number  May We Contact? 
2
From 
Position 
To 
Previous Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly  
Starting__________________  
Ending __________________ 
If hourly, average # 
of hours per week__________ 
Reason For Leaving 
Duties Performed 
Supervisor's Name  Phone Number  May We Contact? 
3
From 
Position 
To 
Previous Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly  
Starting__________________  
Ending __________________ 
If hourly, average # 
of hours per week__________ 
Reason For Leaving 
Duties Performed 
Supervisor's Name  Phone Number  May We Contact? 
4
From 
Position 
To 
Previous Employer (Name and Address of Employer-Type of Business)
Salary Or Hourly  
Starting__________________  
Ending __________________ 
If hourly, average # 
of hours per week__________ 
Reason For Leaving 
Duties Performed 
Supervisor's Name  Phone Number  May We Contact? 
REFERENCES  Please provide  names of three professional references, whom you have known at least one year. 
                Years Acquainted 
                How Do You Know 
  Name  Address & Phone Number        Business           This Person? 
   1.       
   2.       
   3.       
I hereby authorize Starbucks to thoroughly investigate my background, references, employment record and other matters related to my suitability for 
employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by Starbucks to provide 
any relevant information regarding my current and/or previous employment and I release all persons, schools, employers of any and all claims for providing 
such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including 
dismissal. I understand that I may be required to sign a confidentiality and/or non-compete agreement, should I become an employee of Starbucks Coffee 
Company. I understand that nothing contained in this application, or conveyed during any interview which may be granted, is intended to create an 
employment contract. I understand that filling out this form does  not indicate there is a position open and does not obligate Starbucks to hire me.  I authorize 
Starbucks to share my resume and application with neighbouring Starbucks locations and / or corporate office that have employment opportunities. I also 
understand that if employed by Starbucks, I may be required to provide satisfactory proof of identity and legal work authorization. Failure to submit such proof 
may result in immediate termination of employment. I have read and fully understand this Starbucks employment application, and I seek employment under 
these conditions.   
Date _______________________________________ Signature _______________________________________________________  
WE ARE AN EQUAL OPPORTUNITY EMPLOYER 
COMMITTED TO HIRING A DIVERSE WORKFORCE. 
For Retail positions please submit this application at your nearest 
store location. For non-retail openings, please visit our website at 
www.starbucks.com to apply for any posted position. 
PRINTED ON RECYCLED PAPER 
            
    
