Future Franchise Application

EDUCATION

Please describe the level of higher education that you have completed? Also include any professional qualifications (Education since leaving school):

BUSINESS EXPERIENCE/EMPLOYMENT HISTORY

Do you currently own a business?
YesNo
(If yes, briefly explain)
Have you previously owned a business?
YesNo
(If yes, briefly explain)
Do you have any experience in the Industry?
YesNo
(If yes, briefly explain)
Do you have other investors?
YesNo
(If yes, briefly explain the level of participation)
Do you have additional partners?
YesNo
(If yes, briefly explain the level of participation)
What is the length of time you have spent looking for a Franchise?
Why are you looking now?
What is the Time Frame for finding the Right Business?
What is Attractive to You about Owning a Franchise?
What Helps You Excel as an Owner of a Business?
What are the Most Important Things to You when considering a Business?

FINANCIAL INFORMATION

Liquid Assets (Savings, Checking, Investments)
Retirement Plan/IRA/401K
Other Assets
Home Mortgage (Total Owed on Home)
Other Real Estate (Total Owed)
Other Liabilities

LEGAL INFORMATION

Have you or your spouse been convicted of something other than a minor traffic violation?
YesNo
Are you or your spouse subject to pending litigation or unsatisfied Judgments?
YesNo
Have you or your spouse previously declared Bankruptcy?
YesNo
If you answered yes to any of the questions above, please explain here:
Please give us any additional information that you feel would be helpful in evaluating you as a potential Franchisee:
Sign:
Date:
Print Name: