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Please fill out the information below to learn more.


 

APPLICANT

First Name:

Last Name:

Age:

YOUR SPOUSE

First Name:

Last Name:

Age:

DEPENDENTS

Dependent 1:

Dependent 2:

Dependent 3:

ADDRESS

Email Address:

Address 1:

Address 2:

City:

State/Province:

Zip/Postal Code:

CONTACT

Home Phone:

Best Time to Call:

Work Phone:

Best Time to Call:

Fax:

EDUCATION

Highest Education:

High School:

College 1:

Date Graduated:

College 2:

Date Graduated:

Special:

Date Graduated:

YOUR CURRENT POSITION

Company:

Position:

Duties:

Compensation:

YOUR SPOUSE'S CURRENT POSITION

Company:

Position:

Duties:

Compensation:

GENERAL
Have you ever owned your own business? Yes   No
How long have you been looking for a business?
What other businesses have you investigated? 
Area preferred?

Are you seeking:

Individual Franchise

Multiple Franchises

Master/Area Representative

When would you like your first franchise to open?    

Would you be involved:

 Full-time    Part-time

What attracts you to owning your own business?
What have you liked the most and least about past jobs?
What are your strengths and weaknesses related to managing a business?
What are your major questions or concerns about business ownership?
What hours of the day or week do you prefer to work?
How would you rate your sales or interest abilities?
How would you rate your people management interests or abilities?
How would you rate the importance of status (what other people think) in the selection of a business?
How important is it to be able to grow additional units?
How important is it to make a meaningful contribution with your business?
ASSETS

Cash in Hand & in Bank:

Savings Funds/Certificates:

Stock, Bonds & Securities:

Retirement Plans, IRA, 401K:

Home Market Value:

Other Real Estate (market value):

Autos (market value):

Money Due to You:

Personal Property:

Other Assets:

Total Assets:

Total Liabilities:

Net Worth:

Cash Availability for Investment:

JUDICIAL INFORMATION
Have you or your spouse ever been involved in a personal or business bankruptcy? Yes No
Have you or your spouse ever been convicted of a crime? Yes No
Are you or your spouse currently under any type of criminal investigation? Yes No
Are you or your spouse involved in any pending civil lawsuits? Yes No
Are you or your spouse subject to any civil judgments? Yes No

Please explain any affirmative answers to the previous five questions: 

COMMENTS OR QUESTIONS
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