Employment Application

Please fill all the fields below and submit the application by clicking the "Send Application!" button at the end of this page.

Personal Information

1. Name:
2. E-mail:
3. Present Address:
Street:
City:
State:
ZIP Code:
4. Phone:	(Day) (Evening)
5. Are you over the age of 18? Yes No
(If no, you will be required to submit a work permit or proof of graduation from high school or the equivalent, if hired)
6. Have you worked for us before? Yes No
If yes, indicate date, location and resons for leaving.

7. If hired, can you provide proof that you are a citizen or national of US, a lawful permanent resident or an alien authorized to work in this country?
Yes No
8. Do you have any relatives employed by us?
Yes No
If yes, please provide names:

Employment Desired:

1. Position Desired:
2. Date you can start:
3. Wage Desired:
4. Are you applying for? Full-Time Part-Time Temporary
5. Can you perform the essential functions of the job for which you are applying with or without reasonable accommodation? Yes No
6. If required, are you willing to work overtime? Yes No
7. Briefly describe your qualifications for this work and any special skills or experiences you possess that will be of special benefit in the job for which you are applying:
8. Which source prompted your application? Advertisement Walk In Employment Agency Employee: Other

Schedule of Availability

1. Are you available all shifts? Yes No

2. If no, please check the boxes to indicate days and time available:

	MON	TUE	WED	THU	FRI	SAT	SUN
AM (up-to-4pm)
PM (up-to-close)

WORK HISTORY(most recent first)

Employer 1:

1. Company Name:
2. Telephone:
3. Address:
Street:
City:
State:
ZIP Code:
4. Title:
Description of work performed:
5. Supervisor:
6. Reason for leaving:
7. Dates Employed (From - To)
8. Base rate of Pay (Start and End)
9. May we contact this employer for reference? Yes No

Employer 2:

1. Company Name:
2. Telephone:
3. Address:
Street:
City:
State:
ZIP Code:
4. Title:
Description of work performed:
5. Supervisor:
6. Reason for leaving:
7. Dates Employed (From - To)
8. Base rate of Pay (Start and End)
9. May we contact this employer for reference? Yes No

Employer 3:

1. Company Name:
2. Telephone:
3. Address:
Street:
City:
State:
ZIP Code:
4. Title:
Description of work performed:
5. Supervisor:
6. Reason for leaving:
7. Dates Employed (From - To)
8. Base rate of Pay (Start and End)
9. May we contact this employer for reference? Yes No

EDUCATION

High School:

1. Name of School:
2. Address:
3. Course of Study:
4. Years Completed:
5. List Degrees:
6. Graduated? Yes No

College:

1. Name of School:
2. Address:
3. Course of Study:
4. Years Completed:
5. List Degrees:
6. Graduated? Yes No

Technical or Vocational School

1. Name of School:
2. Address:
3. Course of Study:
4. Years Completed:
5. List Degrees:
6. Graduated? Yes No

REFERENCES

Please provide the name, address and telephone number of three people who would be willing to provide a business reference.

Reference 1:

1. Name:
2. Relationship:
3. Address:
Street:
City:
State:
ZIP Code:
4. Phone:
5. Business:
6. Years Acquainted:

Reference 2:

1. Name:
2. Relationship:
3. Address:
Street:
City:
State:
ZIP Code:
4. Phone:
5. Business:
6. Years Acquainted:

Reference 3:

1. Name:
2. Relationship:
3. Address:
Street:
City:
State:
ZIP Code:
4. Phone:
5. Business:
6. Years Acquainted:

Disclaimer:
An Equal Opportunity Employer All employment decisions are made without regard to unlawful considerations of race, sex, religion, national origin, age, disability, or any other legally protected status. Reasonable accommodations are available, upon request. READ CAREFULLY BEFORE SENDING THIS APPLICATION: I certify that the information given by me in this employment application is true and correct and contains no material omissions of any kind. I understand that any false statements or material omissions of fact made by me in the employment application or the interview process may disqualify me from employment of result in my termination. I authorize PFC Hawaii, LLC an authorized licensee of P.F. Chang's China Bistro, Inc. (THE COMPANY) to investigate my background and fitness for employment, including, but not limited to verification of my social security number, as well as an investigation of all other information provided in this employment application. I release THE COMPANY, its employees and agents from any and all liability for failing to hire me or terminating my employment due to such false information or material omissions. I authorize the companies, schools or persons named above or give to THE COMPANY any information regarding my employment or educational background, together with any information they may have regarding my qualifications for the job for which I am applying, whether or not it is in their records. I hereby release said companies, schools or persons and their employees and agents from any and all liability resulting from the disclosure of this information. I UNDERSTAND AND AGREE THAT IF I AM HIRED, MY EMPLOYMENT RELATIONSHIP WITH THE COMPANY IS AT-WILL, WHICH MEANS THAT IT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, BY EITHER ME OR THE COMPANY. In addition, if I am hired, THE COMPANY will have the right to impose discipline or alter my position at its discretion. I understand and agree that no representative of the Company may enter into any agreement contrary to the foregoing unless it is done by way of a specific, written agreement signed by the President or CEO of THE COMPANY.

I understand and agree with the conditions stated in this Disclaimer.