Application For Employment Form printable pdf download

APPLICATION FOR EMPLOYMENT

FOR USE IN U.S. ONLY

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 and

state law.

Please complete entire application to ensure processing.

PERSONAL INFORMATION

(Please print)

Name

Social Security Number

Date of Application (M/D/Y)

Last

First

Middle

Other names you are known by ______________ Are you less than 18 years of age? Yes____ No____

(Starbucks is required to comply with federal and state law.)

Present Address

Street

City

State

Zip Code

Permanent Address

Street

City

State

Zip Code

Phone Number

Referred By

Daytime

Evening

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

Specify hours available for each day of the week

Are you able to work overtime?____________

Have you ever worked for Starbucks Coffee Company?__________ If yes, when? _______________ Which store/department?________________________

Are you legally eligible for employment in the U.S.? Yes ___ No ___ (All new hires will be required to provide documentation to comply with I-9 requirements.)

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 record (arrests are not convictions). A conviction will not necessarily disqualify you for employment.

CALIFORNIA APPLICANTS ONLY: Applicant may omit any convictions for the possession of marijuana (except for convictions for the possessions of marijuana on school grounds

or possession of concentrated cannabis that are more than two(2) years old, and any information concerning a referral to, and participation in, any pretrial or post trial diversion

program). 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 lie detector or similar test. An employer who violates this law is guilty of misdemeanor and subject to a fine not exceeding $100.

MASSACHUSETTS APPLICANTS ONLY: It is unlawful in Massachusetts to require or administer a lie 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.

EDUCATION

Circle Last

Did You

Subjects Studied and

Name and Address of School

Years Completed

G r a d u a t e ?

Degrees Received

High School

College

Post College

Trade, Business, or

Correspondence School

List skills relevant to the position applied for _________________________________________________________________________________________

. ________________________________________________________________

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? ___________________________________

____________________________________________________________________________________________________________________________