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

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 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
Specify hours available for each day of the week

Are you able to work overtime?____________

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

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
1 2 3 4 Y N
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? ___________________________________

____________________________________________________________________________________________________________________________
 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 Position Reason For Leaving
1 Starting __________________
Ending __________________
To If hourly, average #
of hours per week __________
Duties Performed

Supervisor's Name Phone Number May We Contact?

From Previous Employer (Name and Address of Employer - Type of Salary Or Hourly Position Reason For Leaving
2 Business) Starting __________________
Ending __________________
To If hourly, average #
of hours per week __________
Duties Performed

Supervisor's Name Phone Number May We Contact?

From Previous Employer (Name and Address of Employer - Type of Salary Or Hourly Position Reason For Leaving
3 Business) Starting __________________
Ending __________________
To If hourly, average #
of hours per week __________
Duties Performed

Supervisor's Name Phone Number May We Contact?

From Previous Employer (Name and Address of Employer - Type of Salary Or Hourly Position Reason For Leaving
4 Business) Starting __________________
Ending __________________
To If hourly, average #
of hours per week __________
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?

2
3

Date ___________________________________

I understand and agree that my employment is at will, which means that it is for no specified period and may be terminated by me or Starbucks at any time without prior notice for
any reason. 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.

Date ______________________________________ Signature _______________________________________________________

For Retail positions please submit this application at your nearest WE ARE AN EQUAL OPPORTUNITY EMPLOYER
store location. For non-retail openings, please visit our website at
www.starbucks.com to apply for any posted position. COMMITTED TO HIRING A DIVERSE WORKFORCE.