Fillable Printable Starbucks Application Form

Starbucks Application Form

SKU #193822

APPLICATION FOR EMPLOYMENT

Starbucks Coffee Company is an equal opportunity empl oyer, dedicated to a policy of non-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, state,

or provincial law.

Please complete entire application to ensure processing.

PERSONAL INFORMATION

(Please print)

Name

Last First Middle Social Security/Social Insurance Number Date (M/D/Y)

Other names you are known by _____________ Are you less than 18 years of age? Yes____ No____ (Starbucks is requir ed to com ply with federa l, state, or provincia l law.)

U.S. Applicant Only:

Are you legally eligible for employment in the U.S.? Yes_______ No_______

(All new hires will be required to pr ovide pr oof of eligibility to work in the U.S.)

Have you been convicted of a crime in the last seven (7) years? Yes____ No____

If Yes, list convictions that are a matter of public r ecord (arres ts are not convictions). A convic tion will not

necessarily disqua lify you for e mployme nt.

Present Address Street City State/Province Zip Code/Postal Code

Permanent Address Street City State/Province Zip Code/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

Specify hours available for each day of the week

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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 Received

High School

1 2 3 4 Y N

College

1 2 3 4 Y N

Post College

1 2 3 4 Y N

Trade, Business, or

Correspondence School

1 2 3 4 Y N

List skills relevant to the position applied for__________________________________________________________________________________________

SKILLS For O ffice/ Admin istrative 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 experience. ______________________________________________________

___________________________________________________________________________________________________________________________

What do you like about coffee?___________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

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? ________________

___________________________________________________________________________________________________________________________

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)

From

Current Employer (Name and Address of Employer - Type of Business)

Salary Or Hourly

Starting__________________

Ending __________________

If hourly, average #

of hours per week__________

Position Reason For Leaving

Duties Performed

Supervisor's Name Phone Number May We Contact?

From

Previous Employer (Name and Address of Employer - Type of

Business)

Salary Or Hourly

Starting__________________

Ending __________________

If hourly, average #

of hours per week__________

Position Reason For Leaving

Duties Performed

Supervisor's Name Phone Number May We Contact?

From

Previous Employer (Name and Address of Employer - Type of

Business)

Salary Or Hourly

Starting__________________

Ending __________________

If hourly, average #

of hours per week__________

Position Reason For Leaving

Duties Performed

Supervisor's Name Phone Number May We Contact?

From

Previous Employer (Name and Address of Employer - Type of

Business)

Salary Or Hourly

Starting__________________

Ending __________________

If hourly, average #

of hours per week__________

Position Reason For Leaving

Duties Performed

Supervisor's Name Phone Number May We Contact?

REFERENCES Give below the 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?

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 relevan t

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 contrac t. I understand that

filling out this form does no t indicate there is a positi on ope n an d doe s no t oblig ate Starbucks to hire me. (U.S. APPLICANTS ONLY: I understand and agree that

my employment is at w ill, which mea ns that it is fo r no specifi ed period an d may be terminated by me or Starb ucks at an y time without prior notice for any reason.

MARYLAND APPLICANTS ONLY: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or

continued employment, that an individual submit to or take, a l ie detector or similar te st. An employer who violate s this law is guilty of misdemeanor and subject to

a fine not e xceeding $10 0. MASSACH USETTS AP PLICANTS O NLY: It is unlaw ful in Massach usetts to requ ire or admin ister a li e detector test as a condition of

employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. CALIFORNIA APPLICANTS ONLY:

Applicant may o mit any convi ctions for th e possession of marijuana (except for co nvictions fo r the possess ions of marijuan a on school grounds or possession of

concentrated cannabis) that are more th an two(2) yea rs old, and an y informatio n concernin g a referral to, and p articipation in , any pretrial or post trial diversion

program.

Date________________________________________Signature________________________________________________________

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.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

COMMITTED TO HIRING A DIVERSE WORKFORCE.

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