Supplemental Information Name:

Date:
What do you think you will enjoy about working for Peet’s?
Position:

What is your definition of customer service? P.O. Box 12509, Berkeley, CA 94712-3509
www.peets.com

How often do you drink coffee or tea? What is your favorite type of coffee or tea?
Certification
Please read carefully, initial each paragraph and sign below:
I hereby certify that I have not knowingly withheld or misrepresented any information pertaining to my application for
employment and that the answers given by me are true and correct to the best of my knowledge. I understand that any
omission or misstatement of material fact on this application or on any document used to secure employment shall be
grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed
before discovery.
APPLICATION FOR EMPLOYMENT
First, A Little Peet’s History
Known as the “grandfather of specialty coffee,” Peet’s Coffee & Tea has been a Berkeley institution since 1966 when Alfred
Peet opened the first Peet’s store – with a roasting machine on the premises – at the corner of Vine and Walnut. Since that
time, our mission has remained unchanged – to pursue uncompromising quality in every cup of Peet’s coffee or tea. By
remaining steadfast in our quality commitment, Peet’s has spawned a devout following of loyalists who will attest that once
you drink Peet’s coffee, it is unlike any other.
Peet’s has grown considerably since its beginnings with stores across the country. We have added new ways to sell coffees
and teas including online, mail order, specialty food and grocery stores, offices, restaurants and hotels, in addition to the
retail stores.

I hereby authorize Peet’s Coffee & Tea to thoroughly investigate my references, work record, education and other Essentially, though, Peet’s hasn’t changed much. We remain committed to delivering the highest quality and sharing
matters related to my suitability for employment and, further, authorize the references I have listed, or any additional an enduring passion for coffee and tea with our customers. Employees take pride in their work and their company
references identified by me or Peet’s, to provide any relevant information regarding my current and/or previous and endeavor to provide the best customer service of any coffee company in the world. Peet’s prides itself on providing
employment. In addition, I hereby release all persons, schools and employers of any and all claims, demands or extensive training and enjoys hiring from the surrounding communities so that local ambassadors of the Peet’s brand
liabilities arising out of or in any way related to such investigation or disclosure. operate our stores.
I understand and agree that as part of the employment process, I may be asked to sign a separate form authorizing
We believe that one of the great strengths of our community is the rich diversity of our residents. Peet’s is an equal
Peet’s Coffee & Tea to obtain a “Consumer Report” and/or an “Investigative Consumer Report” from a consumer
opportunity employer. We do not discriminate on the basis of race, gender, color, national origin, sexual orientation,
reporting agency. I further understand that any offer of employment may be contingent upon the successful completion
of a background check. religion, age, disability, or medical condition as defined by state, federal, or local law. Peet’s provides reasonable
accommodation to assist in the hiring process and performance of essential job functions as required by applicable
I understand and agree that, if employed, my employment with Peet’s is at-will and can be terminated with or without federal, state, and local laws.
cause and with or without notice at the option of either me or Peet’s. No manager or representative of Peet’s, other
than Peet’s President and Chief Executive Officer, has the authority to enter into any agreement for employment for Referral Source
any specified period of time or to make any agreement contrary to this at-will relationship. Any such agreement must
be in writing and signed by the President and me. This express at-will agreement constitutes the entire agreement
between me and Peet’s with respect to the duration of my employment or the circumstances or conditions under which How did you hear about the position for which you are applying? (Check applicable box)
my employment may be terminated. This at-will agreement supersedes and precludes the existence of any contrary www.peets.com
agreements, expressed or implied.
Walk-in applicant (please specify store)
I understand and agree that if hired, upon termination of my employment I will promptly return all property belonging Employee referral (please state name of employee)
to Peet’s, including but not limited to keys, computer equipment and credit cards.
Another website (please specify the site)
NOTICE TO APPLICANTS IN MASSACHUSETTS: Newspaper ad (please specify newspaper)
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued Community organization (please specify)
employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
School (please specify)
In-store recruiting materials/signage (please specify store)

Signature Date
Rev. 04/06
This application is current for 60 days.
 Personal Information Work Experience

Name: List your last three employers, starting with the most recent. You may also include non-paid volunteer experience or
extracurricular activities. Please complete this section even if you attach a resumé.
Present address (street, city, state, zip):
E-mail: Primary telephone: Secondary telephone: Number May we
Dates of Hours Supervisor & Reason for
Company & Address Position & Duties Pay contact for
Are you 16 or over? Yes No Employed Per Week Phone Number Leaving
a reference?
Worked
If you are under 18, can you furnish a work permit? If no, please explain: Yes No

Are you legally authorized to work in the U.S.? (Proof of eligibility will be required upon employment) Yes No
Have you ever been convicted of a crime? If yes, please explain: Yes No

(Note: You need not identify convictions that have been sealed, expunged, dismissed, or otherwise eradicated by statute or court order, any conviction for a marijuana offense if
the conviction is more than two years old, or any information pertaining to referral to and participation in any pre-trial or post-trial diversion program. Such conviction may
be relevant if job-related, but does not necessarily bar you from employment.)

Do you have any friends or family now employed by our company? Yes No
If yes, identify by name(s), position and location:

Availability
Please indicate when you are available to work:
Have you been employed with Peet’s before? Yes No
Sunday Monday Tuesday Wednesday Thursday Friday Saturday If yes, please state where, when and your reason for leaving:

What is your pay expectation? When could you start? Have you applied with Peet’s before? Yes No
What position are you applying for? If yes, please state when and where:
What planned vacations or extended time off do you need in the next three to six months? Have you ever been dismissed or forced to resign from employment? Yes No
How long would you like to work at Peet’s? If yes, please explain:
If applying for a retail position:
• At which store are you interested in working?
• What is your second and third choice?
References
• Indicate minimum and maximum hours available each week:
Please provide contact information for present or previous supervisors (not related to you). Supervisory references from
Education school, volunteer organizations or extracurricular interests are acceptable if no others are available.

Name & Location Years Completed Degree Major Name: Phone number:
High School Title: How acquainted and for how long?

Name: Phone number:

College
Title: How acquainted and for how long?

Additional Name: Phone number:

Training Title: How acquainted and for how long?
 Personal Information Work Experience

Name: List your last three employers, starting with the most recent. You may also include non-paid volunteer experience or
extracurricular activities. Please complete this section even if you attach a resumé.
Present address (street, city, state, zip):
E-mail: Primary telephone: Secondary telephone: Number May we
Dates of Hours Supervisor & Reason for
Company & Address Position & Duties Pay contact for
Are you 16 or over? Yes No Employed Per Week Phone Number Leaving
a reference?
Worked
If you are under 18, can you furnish a work permit? If no, please explain: Yes No

Are you legally authorized to work in the U.S.? (Proof of eligibility will be required upon employment) Yes No
Have you ever been convicted of a crime? If yes, please explain: Yes No

(Note: You need not identify convictions that have been sealed, expunged, dismissed, or otherwise eradicated by statute or court order, any conviction for a marijuana offense if
the conviction is more than two years old, or any information pertaining to referral to and participation in any pre-trial or post-trial diversion program. Such conviction may
be relevant if job-related, but does not necessarily bar you from employment.)

Do you have any friends or family now employed by our company? Yes No
If yes, identify by name(s), position and location:

Availability
Please indicate when you are available to work:
Have you been employed with Peet’s before? Yes No
Sunday Monday Tuesday Wednesday Thursday Friday Saturday If yes, please state where, when and your reason for leaving:

What is your pay expectation? When could you start? Have you applied with Peet’s before? Yes No
What position are you applying for? If yes, please state when and where:
What planned vacations or extended time off do you need in the next three to six months? Have you ever been dismissed or forced to resign from employment? Yes No
How long would you like to work at Peet’s? If yes, please explain:
If applying for a retail position:
• At which store are you interested in working?
• What is your second and third choice?
References
• Indicate minimum and maximum hours available each week:
Please provide contact information for present or previous supervisors (not related to you). Supervisory references from
Education school, volunteer organizations or extracurricular interests are acceptable if no others are available.

Name & Location Years Completed Degree Major Name: Phone number:
High School Title: How acquainted and for how long?

Name: Phone number:

College
Title: How acquainted and for how long?

Additional Name: Phone number:

Training Title: How acquainted and for how long?
 Supplemental Information Name:
Date:
What do you think you will enjoy about working for Peet’s?
Position:

What is your definition of customer service? P.O. Box 12509, Berkeley, CA 94712-3509
www.peets.com

How often do you drink coffee or tea? What is your favorite type of coffee or tea?
Certification
Please read carefully, initial each paragraph and sign below:
I hereby certify that I have not knowingly withheld or misrepresented any information pertaining to my application for
employment and that the answers given by me are true and correct to the best of my knowledge. I understand that any
omission or misstatement of material fact on this application or on any document used to secure employment shall be
grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed
before discovery.
APPLICATION FOR EMPLOYMENT
First, A Little Peet’s History
Known as the “grandfather of specialty coffee,” Peet’s Coffee & Tea has been a Berkeley institution since 1966 when Alfred
Peet opened the first Peet’s store – with a roasting machine on the premises – at the corner of Vine and Walnut. Since that
time, our mission has remained unchanged – to pursue uncompromising quality in every cup of Peet’s coffee or tea. By
remaining steadfast in our quality commitment, Peet’s has spawned a devout following of loyalists who will attest that once
you drink Peet’s coffee, it is unlike any other.
Peet’s has grown considerably since its beginnings with stores across the country. We have added new ways to sell coffees
and teas including online, mail order, specialty food and grocery stores, offices, restaurants and hotels, in addition to the
retail stores.

I hereby authorize Peet’s Coffee & Tea to thoroughly investigate my references, work record, education and other Essentially, though, Peet’s hasn’t changed much. We remain committed to delivering the highest quality and sharing
matters related to my suitability for employment and, further, authorize the references I have listed, or any additional an enduring passion for coffee and tea with our customers. Employees take pride in their work and their company
references identified by me or Peet’s, to provide any relevant information regarding my current and/or previous and endeavor to provide the best customer service of any coffee company in the world. Peet’s prides itself on providing
employment. In addition, I hereby release all persons, schools and employers of any and all claims, demands or extensive training and enjoys hiring from the surrounding communities so that local ambassadors of the Peet’s brand
liabilities arising out of or in any way related to such investigation or disclosure. operate our stores.
I understand and agree that as part of the employment process, I may be asked to sign a separate form authorizing
We believe that one of the great strengths of our community is the rich diversity of our residents. Peet’s is an equal
Peet’s Coffee & Tea to obtain a “Consumer Report” and/or an “Investigative Consumer Report” from a consumer
opportunity employer. We do not discriminate on the basis of race, gender, color, national origin, sexual orientation,
reporting agency. I further understand that any offer of employment may be contingent upon the successful completion
of a background check. religion, age, disability, or medical condition as defined by state, federal, or local law. Peet’s provides reasonable
accommodation to assist in the hiring process and performance of essential job functions as required by applicable
I understand and agree that, if employed, my employment with Peet’s is at-will and can be terminated with or without federal, state, and local laws.
cause and with or without notice at the option of either me or Peet’s. No manager or representative of Peet’s, other
than Peet’s President and Chief Executive Officer, has the authority to enter into any agreement for employment for Referral Source
any specified period of time or to make any agreement contrary to this at-will relationship. Any such agreement must
be in writing and signed by the President and me. This express at-will agreement constitutes the entire agreement
between me and Peet’s with respect to the duration of my employment or the circumstances or conditions under which How did you hear about the position for which you are applying? (Check applicable box)
my employment may be terminated. This at-will agreement supersedes and precludes the existence of any contrary www.peets.com
agreements, expressed or implied.
Walk-in applicant (please specify store)
I understand and agree that if hired, upon termination of my employment I will promptly return all property belonging Employee referral (please state name of employee)
to Peet’s, including but not limited to keys, computer equipment and credit cards.
Another website (please specify the site)
NOTICE TO APPLICANTS IN MASSACHUSETTS: Newspaper ad (please specify newspaper)
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued Community organization (please specify)
employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
School (please specify)
In-store recruiting materials/signage (please specify store)

Signature Date
Rev. 04/06
This application is current for 60 days.