Tully’s Coffee Employment Opportunities

Retail Corporate Employee Benefits

Name (last, first, middle)
Current Address
City
State
Zip Code
Email Address
Home Phone
Work Phone
Message Phone
Have you applied with Tully's before?		Yes No If so, when and where?
Are you at least 16 years of age?		Yes No
		If under 18, you may be required to provide a work permit prior to working.
Are you at least 18 years of age?		Yes No
Are you acquainted with anyone who is or was employed by Tully's?		Yes No If yes, who are they and where do they work?
Have you ever worked for Tully's before?		Yes No If yes, when and where? What was your manager's name? What was your reason for leaving?
Have you been convicted of a felony or misdemeanor in the last seven years?		Yes No If yes, please explain: Conviction will not necessarily bar employment.
If hired, can you furnish proof that you are eligible to work in the United States?		Yes No If no, please explain:
Are you directly or indirectly involved in any business activity, financial relationship, or investment that competes with Tully's Coffee or offers goods and services to tully's Coffee?		Yes No If yes, please explain:
How were you referred to Tully's?		Employee (who?): School/College (where?): Internet (where?): Newspaper Ad (paper, date?): Other (how?):
Your Interest in Tully's
Position(s) applying for
Acceptable starting salary range
What date could you start?
When would you like to work?		Please specify hours available each day. Should your availability change, it is your responsibility to notify your supervisor. Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Would you like to work at a particular Tully's Coffee location?		List your first four preferences: Since the availability of positions in each store is contingent upon customer demand, available staff at that location, etc., offers are made for employment with Tully's Coffee, not for a specific location. Although we will make a reasonable effort to place you in the store of your choice, we may assign or transfer you to a different store, depending upon Tully's needs.
Have you ever visited a Tully's store? Please describe your experience
Describe a situation when you received or provided excellent customer service
What do you like about coffee?
Why would you like to work for Tully's Coffee?
Education, training and Skills
High School Name
City and State
Years Completed		1 2 3 4
Did you graduate?		Yes No
Degree Earned

College/Vocational
City and State
Years Completed		1 2 3 4
Did you graduate?		Yes No
Degree Earned
Course of Study

Other
City and State
Years Completed		1 2 3 4
Did you graduate?		Yes No
Degree Earned
Course of Study
Employment History Please give an accurate, full-time and part-time employment record. Start with your present or most recent employer.
Employer One
Employer
Address
Telephone
Date Employed (month/year)
Supervisor's Name and Title
Starting Wage
Final Wage
Position Held
Describe your duties
Explain your reasons for leaving
May we contact this employer?		Yes No If no, why not?
Employer Two
Employer
Address
Telephone
Date Employed (month/year)
Supervisor's Name and Title
Starting Wage
Final Wage
Position Held
Describe your duties
Explain your reasons for leaving
May we contact this employer?		Yes No If no, why not?
Employer Three
Employer
Address
Telephone
Date Employed (month/year)
Supervisor's Name and Title
Starting Wage
Final Wage
Position Held
Describe your duties
Explain your reasons for leaving
May we contact this employer?		Yes No If no, why not?
Employer Four
Employer
Address
Telephone
Date Employed (month/year)
Supervisor's Name and Title
Starting Wage
Final Wage
Position Held
Describe your duties
Explain your reasons for leaving
May we contact this employer?		Yes No If no, why not?
List all periods during which you were not employed. How did you spend this time?
Period One
Date From
Date To
Describe your duties
Period Two
Date From
Date To
Describe your duties
Period Three
Date From
Date To
Describe your duties
Professional References
Reference One
Name
Title
Telephone Number(s)
Organization
City and State
Association with you
How long associated with you?
Reference Two
Name
Title
Telephone Number(s)
Organization
City and State
Association with you
How long associated with you?
Reference Three
Name
Title
Telephone Number(s)
Organization
City and State
Association with you
How long associated with you?

Your Interest in Tully's

Education, training and Skills

Employment History

Employer One

Employer Two

Employer Three

Employer Four

Period One

Period Two

Period Three

Professional References

Reference One

Reference Two

Reference Three