Cup Fund Application Template

Cup Fund Application Template

The CUP Fund Application form is a crucial document designed to assist Starbucks partners facing significant financial hardship due to unforeseen circumstances. Established in 1999, this fund provides support to partners in need, offering up to $1,000 in financial assistance for various emergencies such as illness, natural disasters, or loss of income. If you find yourself in need of help, consider filling out the application form by clicking the button below.

Table of Contents

The CUP Fund Application form is an essential tool for Starbucks partners seeking financial assistance during challenging times. Established in 1999, the Caring Unites Partners Fund (CUP) aims to support partners facing unexpected hardships due to circumstances beyond their control, such as illness, injury, or natural disasters. The application process is straightforward and confidential, allowing partners to request up to $1,000 in assistance. Before applying, it’s crucial to explore other resources available, including employee assistance programs and health coverage. The application requires personal information, details about the financial need, and supporting documentation. Partners must also demonstrate good standing with Starbucks to be eligible. By completing the CUP Fund Application, partners can take a significant step toward securing the support they need during difficult times. Additionally, contributions to the fund are encouraged to help maintain its availability for all partners in need.

Cup Fund Application Sample


CUPFundGuidelines (U.S.)
In 1999, Starbucks Coffee Company and a group of partners initiated a program that enables partners to
help other partners in times of financial need – the Caring Unites Partners Fund. CUP is funded by partner
contributions and fund raising activities, and administered by Starbucks.
CUP Fund is a safety net for partners who are experiencing significant immediate hardship because of
catastrophic circumstances outside their control. Assistance may include referrals to Starbucks benefit
and employee assistance programs or to community resources. Partners with the greatest and most
immediate need are considered for financial assistance of up to $1,000.
O
VERVIEW
CUP is a program helping Starbucks partners in times of significant and immediate need. Situations that
can result in a partner needing assistance include, but are not limited to, illness or injury, death, natural
disaster, or other catastrophic circumstances. All partners are eligible to apply for assistance upon hire.
You need not contribute to the Fund in order to request assistance.
Contributions to the Fund
CUP Fund is supported solely by partner contributions and fund raising efforts. You can help ensure the
long-term availability of the CUP Fund by contributing to it yourself. Sign up for payroll deduction by
filling out a pledge form found in new-hire paperwork and also on Starbucks Online, the Partner Portal
and at http://LifeAt.sbux.com. You can also send donations to CUP Fund at mail stop S-HR3, in the form
of a check made payable to Starbucks Coffee Company—CUP Fund. Donations are not tax deductible.
R
EQUESTING ASSISTANCE
Availability of Other Resources
Before applying for CUP Fund assistance you should use available resources such as:
the employee assistance program at 1-800-682-0364 (includes legal advice, financial planning,
community resources, and counseling services)
health coverage
vacation time and sick pay
disability income benefits (call Starbucks Benefits Center at 1-877-SBUXBEN to see if you are
eligible)
family or community resources
other financial resources including a 401(k) loan and sale of stock
Application Process
Each application will be treated with confidentiality and carefully documented and screened. To apply,
complete an application form. The application is available on Starbucks Online, the Partner Portal and at
http://LifeAt.sbux.com. You can also ask your manager or Partner Resources manager for a form.
Once the application is received, the Benefits Department will contact you within three business days to
obtain additional information required to assess your need. Benefits may also contact your manager to
review your current work performance. We may also need to access personal information in partner
resources records.
Criteria for Distribution
The CUP Fund is intended to help you when
catastrophic circumstance occurs outside your control and
you have sudden and unexpected financial responsibilities as a result and
you do not have sufficient resources to meet your responsibilities.
The list below outlines the type of financial needs that may be eligible for assistance. It is intended as a
guide and is not intended to be all-inclusive.
Portion of out of pocket medical expenses only in the case a payment plan has been established or
grant would provide substantial relief
Loss of your income because you are ill, injured, or are unable to work and there is no other wage
replacement available
Travel expenses to visit a seriously ill family member* or to attend the funeral of a family member*
Basic funeral expenses of a family member* when you and your family do not have enough resources
including payments from life insurance
To establish or re-establish a habitable and safe residence when your home is damaged or lost due to
natural disaster or unforeseen circumstances
Loss of income for the primary wage earner in your household (your spouse/domestic partner or
family member) when they are unable to work due to illness, injury, natural disaster or similar
catastrophic event (e.g. fire), or when needed to care for an ill family member* and they don’t have
other financial resources or any type of wage replacement
*Family member is defined as: parent, brother, sister, daughter, son, husband, wife, domestic partner,
mother-in-law, father-in-law, son-in-law, daughter-in-law, stepparents, stepchild, grandparent,
grandchild.
Other Considerations
The long-term viability of the Fund is important to partners. Therefore, when assessing your request the
Benefits Department will consider:
measures you took to protect yourself against and/or to minimize your loss
resources you have explored prior to requesting CUP Fund assistance
whether assistance will provide ample relief
alternatives to your request that may be available to assist you with your immediate need
Exclusions
The list below is used as a guide and is not intended to be all-inclusive. Funds from the CUP Fund will
not be available for things such as:
Routine living expenses
(including car repairs or other transportation issues)
Payment of traffic or other court related fines
Reduced income due to a variance in your scheduled hours
Other personal debts such as income tax, child support, credit card debt, tuition, etc.
Loss of or damage to your personal property that does not impact your safety, housing, and ability to
meet your monthly expenses
Financial assistance that you are not obligated to repay
Services that you are not obligated to pay for
Elective services (e.g. cosmetic procedures, fertility treatments)
Questions
Call the CUP Fund at 1-888-796-JAVA, ext. 8CUPS
ThefirststepinrequestingfinancialassistancefromtheCUPFundistoreadtheprogram
guidelines.Ifyoufeelyourrequestfallswithintheguidelines,completeandreturnthis
confidentialapplication.Directionsabouthowtosendinthisformareattheendofthe
application.Oncereceived,theBenefitsDepartmentwillcontactyouwithinthreebusiness
days.
GeneralPartnerInformation
Name: Date:
Partnernumber:
Cellphone:______
Storenumber/department: Homephone:
Currentaddress:_
Work/Storephone:
City:___________________________________
JobPosition:___________________________
State:
Zip:__________ ________ Mostrecenthiredate:___________________
Manager’sname:_
Manager’sphone#: _____________
InitialEligibilityforCUPFundconsideration
1) PartnersmustbeingoodstandingwithStarbucksinordertomeetinitialeligibility
requirementsforCUPFundAssistance.Generallyspeaking,thismeansthatthe
applicant’scurrentperformancemustbeata“meetsexpectations”levelorhigher.By
signingthisapplication,youagreeandunderstandthatwemayobtainemployment
informationinordertoconsideryourapplicationforCUPFundassistance.
2) Youhavenotreceivedanyothergrant(s)fromtheCUPFundwithinthelastthreeyears.
3) Youdonothavesavings,stockoptionsorSIPsharesavailableasaresource.
4) Payrollgarnishmentsmayaffectyoureligibilityforagrant.
Ifavailable,pleasehaveyourcurrentmanagercompletethefollowinginformation:
(Notrequiredpriortosendinginapplication)
AdditionalRequiredInformation
CaringUnitesPartnersFundApplication(U.S.)
Forapplicant’smanageruseonly:
Pleaseselectfromthebelowratingsfortheaboveapplicant’scurrentperformance.
□Partnerexceedsexpectations
□Partnermeetsexpectations
□Partnerneedsimprovement/onanactionplan
□Partnerhasreceivedacorrectiveactioninthelast90days
Comments:__________________________________________________________________________________
Completedby:________________________Partner#:______________ Position:___________________
Signature:____________________________________________ PhoneNumber:_____________
March 2008 CUP Fund application, page 1 of 4
Ifyouremploymentstatusmeetsinitialeligibilityguidelines,wewillreviewtheinformation
youprovideinresponsetothefollowingquestionsincludingpersonalinformation,financial
dataanddetailsaboutthespecificeventthatistriggeringthisrequesttomakea
determinationonyourCUPFundapplication.Thisinformationwillbekeptconfidentialand
willnotbeusedforanypurposeotherthaninconjunctionwiththisapplicationforCUPFund
benefits.
CurrentSituation
1. Pleasedescribethecurrentsituationthatiscausingafinancialneed:

______
______________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
2. Dateofoccurrence:
REQUIRED:
Providesupportingdocumentationwhenapplicable.Documentationmayinclude
butisnotlimitedto:
Medicalpaymentplan
PoliceReport
EvictionNotice
Ifapplyingforhousingassistance,arentalagreementorwrittenstatementfroma
landlordindicatingmoveindate,depositrequiredandongoingmonthlyrent
amountwillberequiredpriortoassistancegrant.
3. Doyouhaveotherresourcesavailabletoyou?(e.g.Lifeinsurance,renter’s,autoor
homeowner’sinsurance,healthcoverageincludingMedicaid,andcommunityservices,etc.)

______
4. WhatistheamountyouarerequestingfromtheCUPFund?$ _____________

5. Specifically,howdoyouplantousethesefunds?
______________________________________________________________________________
_________________________________________________________________________________
CUP Fund application, page 2 of 4
FinancialInformation
Pleasecompletethefollowingtothebestofyourabilitysothatwecanbetterunderstandyour
financialneed.
1. Arethefundsyouarerequestingfor:(circleone)
YourselfAfamilymemberAcombination
2. Areyoufinanciallyresponsibleforanyonebesidesyourself? 
YES/NO
Ifyes,pleaseexplain.
3. On average, how much do you bring home (after all deductions), from each Starbucks
check?$
 ____
Howmuchdoyoubringhomeperweekintips?$___________
4. IsyourStarbucksjobyouronlysourceofincome?
YES/NO
Ifnot,pleasedetailothersourcesandincomeasfollows:
Spouseordomesticpartnermonthlyincome:_______________________________
Otheremployment/2
nd
job:(Estimatemonthlyincome):______________________
ChildSupportorCommunityAid:________________________________________
Anyothermembersofsamehouseholdwithincome:________________________
5. DoyouhaveasavingsaccountYES/NO
Ifso,what’sthebalance?
6. Pleasedetailyourregularmonthlyexpenses:
rent/mortgage:$
combinedutilities:$
carpayment:$ gasoline:$_____________________
carinsurance:$
cellphone:$_______________
groceries:$
childcare:$
other:
OtherInformation
1. HowdidyoufindoutabouttheCUPFund?
2. HaveyoueverappliedforCUPFundassistancebefore?______

Ifso,whenandwhatwastheamount?__________________________________________
March 2008 CUP Fund application, page 3 of 4
Acknowledgment
Irepresentandacknowledgethattheaboveinformationistrueandaccuratetothebestofmy
knowledgeandhasbeenprovidedinconjunctionwithmyapplicationforCUPFundbenefits.I
understandtheCUPFundGuidelinesandIalsounderstandthattheallocationofCUPfundsis
determinedbypriorityofthesituation,theavailabilityoffundsandthesolediscretionofthe
CUPFundstaff.


ApplicantsignatureDate
Please send completed form along with related supporting documentation to:
CUP Fund c/o Benefits Department
Starbucks Coffee Company
2401 Utah Ave S, ms S-HR3
Seattle, WA 98134
You may also send it via confidential fax at (206) 318-7812.
The Benefits Department will contact you within three business days of receiving the application
for further information. If you have questions, please call 888-796-JAVA, ext. 8CUPS.
ForCUPFundOfficeUseOnly:
Notes:_____________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
□Pendedforadditionalinformationorsupportingdocumentation:_____________________
___________________________________________________________________________________
DatePended:_____________________
Income: ________________________ Requested: ______________________
Expenses: ________________________ Grant: ______________________
PreviousGrants:______________________ Date: ______________________
StockAvailable:_______________________ Category: ______________________
March 2008 CUP Fund application, page 4 of 4

Document Attributes

Fact Name Details
Program Origin The Caring Unites Partners Fund (CUP Fund) was initiated in 1999 by Starbucks Coffee Company and partners to assist those in financial need.
Funding Source CUP Fund is funded entirely by contributions from partners and fundraising activities.
Eligibility Criteria All partners are eligible to apply for assistance, regardless of whether they have contributed to the Fund.
Maximum Assistance Amount Financial assistance can be provided up to $1,000 for partners facing significant immediate hardship.
Application Process To apply, partners must complete a confidential application form available on the Partner Portal or by requesting it from a manager.
Confidentiality Assurance All applications are treated confidentially and documented carefully to protect partner privacy.
Exclusions from Assistance Funds cannot be used for routine living expenses, traffic fines, or personal debts unrelated to immediate hardship.
Resources to Explore Before applying, partners should utilize available resources like employee assistance programs, health coverage, and community resources.
Contact Information For questions, partners can reach out to the CUP Fund at 1-888-796-JAVA, ext. 8CUPS.

Cup Fund Application: Usage Instruction

Filling out the CUP Fund Application form is a straightforward process. After you submit your application, the Benefits Department will review it and contact you within three business days for any additional information needed to assess your situation.

  1. Obtain the CUP Fund Application form. You can find it on Starbucks Online, the Partner Portal, or at LifeAt.sbux.com. You may also request a form from your manager or Partner Resources manager.
  2. Read the CUP Fund guidelines carefully to ensure your situation qualifies for assistance.
  3. Fill out the general partner information section, including your name, partner number, contact information, job position, and manager’s details.
  4. Confirm your initial eligibility by checking the required conditions. This includes being in good standing with Starbucks and not having received any other grants from the CUP Fund in the last three years.
  5. Provide details about your current financial situation. Describe the circumstances causing your financial need and include the date of occurrence.
  6. List any other resources available to you, such as insurance or community services.
  7. Specify the amount you are requesting from the CUP Fund and detail how you plan to use these funds.
  8. Complete the financial information section, detailing your income, expenses, and any dependents you are financially responsible for.
  9. Answer any additional questions regarding how you found out about the CUP Fund and any previous applications you may have submitted.
  10. Sign the application to confirm that the information provided is accurate and that you understand the terms of the application process.
  11. Submit the completed application as directed at the end of the form.

Frequently Asked Questions

  1. What is the CUP Fund and who is eligible to apply?

    The CUP Fund, or Caring Unites Partners Fund, is a program created to assist Starbucks partners facing significant financial hardship due to catastrophic circumstances beyond their control. This includes situations such as illness, injury, death, or natural disasters. All partners are eligible to apply for assistance as soon as they are hired, regardless of whether they have contributed to the fund. The program aims to provide a safety net for those in immediate need, with financial assistance available up to $1,000.

  2. How do I apply for assistance from the CUP Fund?

    To apply for assistance, first read the CUP Fund guidelines to ensure your situation qualifies. You can obtain the application form from Starbucks Online, the Partner Portal, or by asking your manager. Once you complete the application, return it as instructed. The Benefits Department will review your application and contact you within three business days to gather any additional information needed to assess your request.

  3. What types of financial needs are covered by the CUP Fund?

    The CUP Fund can assist with various financial needs that arise from unexpected catastrophic events. Eligible expenses may include:

    • Out-of-pocket medical expenses with an established payment plan
    • Travel expenses to visit a seriously ill family member or attend a funeral
    • Basic funeral expenses for a family member
    • Establishing a safe residence after damage due to a natural disaster
    • Loss of income for the primary wage earner in your household

    It is important to note that the list is not exhaustive, and the Benefits Department will assess each application on a case-by-case basis.

  4. Are there any exclusions to the assistance provided by the CUP Fund?

    Yes, there are certain exclusions to keep in mind. The CUP Fund will not provide assistance for:

    • Routine living expenses, like car repairs or transportation issues
    • Payment of traffic or court-related fines
    • Reduced income due to a variance in scheduled hours
    • Personal debts such as income tax or credit card debt
    • Loss or damage to personal property that does not affect safety or housing

    Understanding these exclusions can help you better prepare your application and expectations.

Common mistakes

Completing the CUP Fund Application form can be a straightforward process, but many applicants make common mistakes that can hinder their chances of receiving assistance. Understanding these pitfalls can help ensure a smoother application experience.

One frequent mistake is incomplete personal information. Applicants sometimes forget to fill in crucial details such as their partner number, contact information, or job position. Providing complete and accurate information is essential, as it allows the Benefits Department to process the application efficiently. Missing details can lead to delays or even denial of assistance.

Another common error involves failing to provide supporting documentation. The application requires documentation relevant to the financial need, such as medical payment plans or eviction notices. Without this documentation, the Benefits Department may not have enough information to assess the request, which can result in a denial.

Applicants also often overlook the eligibility criteria. For instance, partners must be in good standing with Starbucks, which means their performance should meet or exceed expectations. If an applicant has received corrective action within the last 90 days, this could affect their eligibility. Not being aware of these criteria can lead to wasted time and effort.

Another mistake is not detailing the financial situation adequately. The application asks for a description of the current situation causing financial need. Providing vague or insufficient information can leave the Benefits Department without a clear understanding of the applicant's circumstances, which may lead to a rejection of the application.

Some applicants fail to list all available resources. The application asks if there are other resources available, such as insurance or community services. Not disclosing these resources can create an impression that the applicant is not exploring all options for assistance, which may negatively impact the assessment of their need.

Additionally, applicants sometimes request an amount that exceeds the maximum grant limit of $1,000. Understanding the limits of the CUP Fund is crucial. Requests that exceed this limit will not be considered, so it is important to be realistic about the amount being requested based on the situation.

Another common oversight is neglecting to sign the application. A missing signature can render the application invalid. It is essential to review the entire form before submission to ensure all required fields, including the signature, are completed.

Lastly, applicants might submit the application to the wrong location. It is important to follow the directions provided at the end of the application regarding where to send it. Misplacing the application can lead to delays in processing, which can be critical when immediate assistance is needed.

Documents used along the form

The CUP Fund Application is an essential document for Starbucks partners seeking financial assistance during times of significant need. However, it is often accompanied by other forms and documents that help provide a clearer picture of the applicant's situation. Below is a list of commonly used documents that may be required alongside the CUP Fund Application.

  • Medical Payment Plan: This document outlines any payment agreements established for medical expenses. It is crucial for verifying the financial obligations resulting from health-related issues.
  • Police Report: If the financial need arises from a crime, such as theft or vandalism, a police report serves as official documentation of the incident.
  • Eviction Notice: This notice is issued by a landlord when a tenant has failed to pay rent. It is important for demonstrating the urgency of housing-related financial assistance.
  • Rental Agreement: When applying for housing assistance, a rental agreement provides details about the lease, including move-in dates and monthly rent amounts.
  • Proof of Income: This may include pay stubs or bank statements that show the applicant's income. It helps assess their financial situation accurately.
  • Community Resource Documentation: Evidence of any community services or benefits being accessed can illustrate the applicant's efforts to seek assistance from other sources.
  • Insurance Policy Information: For applicants with insurance coverage, providing details about relevant policies can clarify available resources for financial support.
  • Previous CUP Fund Applications: If the applicant has sought assistance in the past, providing details of previous applications can help the Benefits Department evaluate the current request.

Gathering these documents can streamline the application process and enhance the likelihood of receiving the necessary assistance. Each piece of documentation plays a vital role in demonstrating the applicant's situation and financial needs, ensuring that the CUP Fund can effectively support those in distress.

Similar forms

The CUP Fund Application form shares similarities with several other documents that serve various purposes related to financial assistance and support. Below is a list of documents that are comparable to the CUP Fund Application form, along with a brief explanation of how they are similar.

  • Grant Application Form: Like the CUP Fund Application, a grant application form is used to request financial assistance. Both require detailed personal and financial information to assess eligibility for aid.
  • Loan Application Form: This document is similar in that it collects information about the applicant’s financial situation. Both forms evaluate the need for funds and the applicant's ability to manage financial responsibilities.
  • Emergency Assistance Application: This type of application is designed for individuals facing urgent financial needs, akin to the CUP Fund. Both documents focus on immediate financial hardships and require supporting documentation.
  • Nonprofit Assistance Request: Nonprofit organizations often have forms for individuals seeking help. These forms, like the CUP Fund Application, assess the applicant’s circumstances and needs to determine eligibility for assistance.
  • Disability Benefits Application: Similar to the CUP Fund Application, this document is used to request financial support due to a disability. Both forms require information about the applicant's current situation and financial needs.
  • Health Coverage Application: This application form gathers personal and financial information to determine eligibility for health benefits. Like the CUP Fund Application, it aims to assist individuals in need based on specific criteria.
  • Housing Assistance Application: This document is used to request help with housing costs. Both applications require detailed information about the applicant's financial status and the circumstances leading to the request for assistance.

Dos and Don'ts

When filling out the CUP Fund Application form, it is crucial to approach the task with care and attention to detail. Below is a list of ten important dos and don’ts to guide you through the process effectively.

  • Do read the CUP Fund guidelines thoroughly before beginning your application.
  • Do ensure all personal information is accurate and complete.
  • Do provide all required supporting documentation to strengthen your application.
  • Do be honest about your financial situation and needs.
  • Do submit your application as soon as possible after the event causing your financial need.
  • Don't leave any sections of the application blank; incomplete forms can delay processing.
  • Don't exaggerate or provide false information in your application.
  • Don't forget to check your contact information to ensure the Benefits Department can reach you.
  • Don't apply for assistance if you do not meet the eligibility criteria outlined in the guidelines.
  • Don't overlook the importance of following up if you do not hear back within three business days.

Filling out the application with care will help ensure that your request for assistance is processed smoothly and efficiently. Take the time to review your application before submission, as this can make a significant difference in the outcome.

Misconceptions

  • Misconception 1: You must contribute to the CUP Fund to receive assistance.

    This is not true. All partners are eligible to apply for assistance regardless of whether they have contributed to the fund. The program is designed to help partners in need, and contributions are not a prerequisite for receiving help.

  • Misconception 2: You can only apply for CUP Fund assistance if you are currently employed.

    While being employed is a factor, the key requirement is that you must be a partner at Starbucks. If you are in good standing and have faced a catastrophic event, you can still apply even if you are no longer working.

  • Misconception 3: The CUP Fund only covers medical expenses.

    Many believe that the fund is limited to medical needs. In reality, it assists with a variety of financial hardships, including funeral costs, travel expenses to visit ill family members, and costs associated with natural disasters.

  • Misconception 4: The application process is complicated and time-consuming.

    While it requires some documentation, the process is straightforward. After submitting the application, you can expect to hear back within three business days. The Benefits Department is there to help guide you through any necessary steps.

  • Misconception 5: All applications for assistance will be granted.

    It's important to understand that not all requests will be approved. The CUP Fund is designed for partners facing significant and immediate financial hardship. Each application is carefully reviewed based on specific criteria, and assistance is provided based on the urgency and nature of the need.

Key takeaways

Key Takeaways for Filling Out the CUP Fund Application Form

  • Before applying, explore other available resources such as the employee assistance program, health coverage, and community support. This can help you understand if you truly need CUP Fund assistance.
  • Ensure that you meet the eligibility criteria, including being in good standing with Starbucks and not having received CUP Fund assistance in the last three years.
  • When filling out the application, be thorough and honest about your current financial situation. Provide all required documentation to support your request.
  • Expect to be contacted by the Benefits Department within three business days after submitting your application for any additional information needed.