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:

Zip 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 CURRENT POSITION

Company:

Position:

Duties:

Compensation:
Have you ever owned your own business?  
How long have you been looking for business? 
What other businesses have you investigated? 
Area preferred: 
GENERAL

Are you seeking an individual franchise, multiple franchise or a Master/Area Representative? 

When would you like your first franchise to open? 
Would you be involved on a full-time or part-time bais?  
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 abilites? 
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 on Hand & in Bank:

Savings Funds/Certificates:

Stocks, Bonds & Securities:

Retirement Plans, IRAs, 401Ks

Home Market Value:

Other Real Estate

(market value):

Autos (market value):

Money Due to You:

Personal Property:

Other Assets:

Total Assets:

Net Worth:

Cash Availability for Investment:
JUDICIAL INFORMATION
Have you or your spouse ever been involved in a personal or business bankruptcy? 
Have you or your spouse ever been convicted of a crime? 
Are you or your spouse currently under any type of criminal investigation? 
Are you or your spouse involved in any pending civil lawsuits? 
Are you or your spouse subject to any civil judgements? 
Please explain any affirmative answers to the previous five questions:

       

COMMENTS OR QUESTIONS