Franchisee Application "*" indicates required fields First Name* Middle Initial* Last Name* Date of Birth* MM slash DD slash YYYY Do You Have a Spouse?* Yes No Spouse First Name* Spouse Middle Initial* Spouse Last Name* Spouse Date of Birth* MM slash DD slash YYYY Preset Address* Street Address City State / Province / Region ZIP / Postal Code Years*Email* Telephone*Alternate TelephoneBest Time to Call Have you ever been in business for yourself?* Yes No If Yes, Please Explain Has your spouse ever been self-employed?* Yes No I do not have a spouse If Yes, Please Explain Do you have children? Ages?* What is your general health?* How did you hear about this franchise?* Are you a U.S. Citizen?* Employer’s Name TelephoneEmployer’s Address Street Address City State / Province / Region ZIP / Postal Code Job Title Duties Reason for Leaving Highest Level of Education* Degree* Will other Investors participate in this franchise?* Yes No If Yes, list the name(s) and the extent of participationHow would you be involved in the business? Are you interested in multiple units?* What income do you expect from your first year of business?* What income do you expect from your second year of business? How long have you been looking for a business/franchise?* What is your time frame for finding the right business?* Why are you looking into a franchise now?* Preferred Area 1* Preferred Area 2* Preferred Area 3* Are you willing to relocate? When?* Rate your marketing skills on a scale of 1-10*12345678910Rate your management skills on a scale of 1-10*12345678910General InformationWhat aspects of business ownership do you find attractive?* What skills/experience do you feel will help you excel as a business owner?* What are your strengths and weaknesses related to managing a business?* What are the most important things to you when considering a business?* Have you or your spouse ever been convicted of something other than a minor traffic violation?* Yes No If Yes, Please Explain and include the date, location, charge and disposition of the charge.Are you or your spouse subject to a pending litigation or unsatisfied judgments?* Yes No If Yes, Please Explain Are you or your spouse ever declared bankruptcy?* Yes No If Yes, Please Explain Financial InformationTotal Assets* Total Liabilities* Estimated Net Worth (Assets – Liabilities)* Total Income* Total Expenses* Net Income (Income – Expenses)* Amount Of Cash Available For Franchise Current Credit Score Consent* I attest that all the information provided above is true to the best of my knowledge.EmailThis field is for validation purposes and should be left unchanged. Δ
