ARE YOU READY FOR THE NEXT STEP?

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'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:

When would you like your first franchise to open?
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?
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?
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



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