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
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?
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?
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?
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
click to sign
signature
click to edit
![]()
