Test Form

FRANCHISE APPLICATION FORM

Personal Information:

Please complete the entire application. If an item does not apply to you, enter “N/A.” False or misleading statements on this form are grounds for terminating the application process and /or grounds for terminating the franchise, should you be granted one.

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Full Name

Address Line 1

Address Line 2

Email address*

City

State/Province/Region

Zip/Post Code

Country

Phone

Email address*

Best Time to Call

How did you hear about our franchise opportunity?

Why did you select our franchise opportunity?

Education A four-year degree is required. Please list all the higher education you have received starting with the most recent qualification. We may ask you to provide proof of your academic credentials.

School and Address

Degree/Subjects

Year of Completion

Employment History Start with present or most recent employer. An updated resume must accompany this application.

Company Name & Address

Position/Duties

Employment Period (Yr-Yr)

When would you be ready to invest in your franchise if you were approved?

What skills/experience do you have that will help you be successful in this business?

Why do you think this franchise will enable you to reach your personal goals?

How many hours per week will you devote to this business?

Area / Location Preferences (Mention the areas you would consider opening your franchise center)

Funds available for investment? ($)

Preference 1

Preference 2

Preference 3

Have you been approved for financing?

Yes

Amount Approved ($):

Are you now, or have you ever been party to any lawsuit - either as defendant or plaintiff?

Yes

Have you ever been convicted of any offense (including misdemeanors for which you have been fined $ 200 or more, excluding traffic violations)?

Yes

Have you ever been convicted of a felony?

Yes

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