Application

First Name

Last Name

Age

First Name

Last Name

Age

Dependent 1

Dependent 2

Dependent 3

Address 1

Address 2

City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Home Phone

Best Time to Call

Work Phone

Best Time to Call

Fax

Highest Education

High School

College 1

Date Graduated

College 2

Date Graduated

Special

Date Graduated

Company

Position

Duties

Compensation

Company

Position

Duties

Compensation

Have you ever owned your own business?

How long have you been looking for a business?

30 days1-6 months6-12 monthsover 1 year

What other businesses have you investigated?

Area preferred?

Are you seeking:

When would you like your first franchise to open?

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Application When would you like your first201720182019

Would you be involved:

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?

ExcellentVery GoodFairPoor

How would you rate your people management interests or abilities?

ExcellentVery GoodFairPoor

How would you rate the importance of status (what other people think) in the selection of a business?

Very ImportantSomewhat ImportantNeutralNot Very ImportantUnimportant

How important is it to be able to grow additional units?

Very ImportantSomewhat Important

How important is it to make a meaningful contribution with your business?

Very ImportantSomewhat ImportantNeutralNot Very ImportantUnimportant

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 Liabilities

Net Worth

Cash Availability for Investment

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 judgments?

Please explain any affirmative answers to the previous five questions

COMMENTS OR QUESTIONS