APPLICATION FOR EMPLOYMENT
Starbucks Coffee Company is an equal opportunity employer, 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, or
provincial law.
Please complete entire application 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 Office/Administrative 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. ______________________________________________________
___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
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
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signature
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