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about this franchise.
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Personal information
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First Name:
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Last Name:
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Occupation:
Spouse First Name:
Spouse Last Name:
Spouse Occupation:
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Address:
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City:
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State / Province:
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Work Phone:
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Residential Phone:
Cell Phone:
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Email Address:
For Primary Person:
Previously owned a business?
Yes
No
If yes, what type of business?:
Your role in previous business:
Total years of education:
Degrees and/or credentials earned:
Other businesses you're considering:
What are the categories that appeal to you most?:
What franchise opportunity are you interested in (1st Choice):
What franchise opportunity are you interested in (2nd Choice):
What franchise opportunity are you interested in (3nd Choice):
How do you rate your skills with people
(10 being highest)
:
10
9
8
7
6
5
4
3
2
1
How do you rate your leadership skills?
(10 being highest)
:
10
9
8
7
6
5
4
3
2
1
What are your reasons for wanting to be in business for yourself?
If accepted to purchase a franchise, what is it about you that would make you a great franchise owner?
Will anyone be running your franchise with you?
If you are accepted by a specific opportunity, when would you start?
As Soon as Possible
30 days
31-60 days
60+ days
Financial Information
Capital available (from cash, savings, checking, money markets, etc.):
$
Home Equity:
$
Securities (Stocks, Bonds, Mutual Funds, etc.):
$
IRA's /401K's:
$
Two References (not related to you):
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First Reference Name:
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First Reference Phone:
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Second Reference Name:
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Second Reference Phone:
Optional Information:
Feel free to share any information with us that you believe is beneficial to you and will assist Franchise Opps in evaluating you for franchise ownership:
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