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	Contact Information Last Name: (required) First Name: (required) Street Address: (required) City: (required) Home Phone #: (required) Cell Phone #: Email Address: (required) Starbucks Interest Why do you want to work for Starbucks: What positions are you interested in? Position 1: Please Select Kitchen Staff Front Desk Agent Waiter / Bus Boy Host/Hostess Restaurant & General Cashier Retail Associate Shipping & Receiving Position 2: Please Select Kitchen Staff Front Desk Agent Waiter / Bus Boy Host/Hostess Restaurant & General Cashier Retail Associate Shipping & Receiving Position 3: Please Select Kitchen Staff Front Desk Agent Waiter / Bus Boy Host/Hostess Restaurant & General Cashier Retail Associate Shipping & Receiving Other positions: Have you previously worked for Starbucks: Please Select Yes No When are you available to work? Weekdays Weeknights Weekends Late Nights Restrictions: Start Date Date available to start with Starbucks: Do you have friends or relatives that work for Starbucks? *Please insert "none" if not applicable First Name: Last Name: (required) Relationship: Please Select Friend Relative Other - First Name: Last Name: (required) Relationship: Please Select Friend Relative Other Previous Work Experience Is this your first job? (If Yes, Skip to Educational Information): Please Select No Yes (required) Most Recent Employment Employer/Company: City: Position/Title: Supervisor Name: Start Date: End Date: Duties: Reason for leaving: 2nd Most Recent Employment Employer/Company: City: Position/Title: Supervisor Name: Start Date: End Date: Duties: Reason for leaving: 3rd Most Recent Employment Employer/Company: City: Position/Title: Supervisor Name: Start Date: End Date: Duties: Reason for leaving: Educational Information Highest Grade or Level Completed: Diploma/Degree Obtained: Name of Program: Workshops/Seminars: Other Relevant Information - REQUIRED Have you been convicted of any offense under the laws of Canada, for which you have not been pardoned? Yes No Are you legally entitled to work in Canada? Yes No Do you have a Social Insurance Number Yes No Do you hold a valid driver's license? Yes No Are you bondable? Yes No If applying for a position serving alcoholic beverages, have you obtained the legal age requirement of 18 years of age? Yes No Upload Resume Upload a text file of your resume. Find Resume: Applicant's Agreement By typing your name, you are conveying the same privilege as your signature: Signature: (required) Date: I agree that any misrepresentation on this application form or on employer documents completed after my hiring may be cause for refusing to employ me or dismissal. I consent to the company making its usual inquiries about my work experience through my former employment and to the obtaining of consumer reports that may contain credit and personal information other than that of a religious, racial or ethnic character.
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