Applicant Confidential Questionnaire
(cut and paste to wordpad/word/etc)
(then email or fax it to the number below)
Last Name: First Name:
Evening phone number: Daytime phone number:
Email Address: Mobile Number:
Address City
State Zip code
About You
Age?
Are you married?
Spouses name?
Spouse current occupation?
Will spouse be active or passive?
Your current occupation?
Why are you looking to change?
What kind of business are you looking for? Circle what applies or delete what does not Home-based/ Retail/Food/Service/B2B/Other
Are you looking for a business that is related to past business or employment?
Do you want part time or full time opportunity?
What do you want your work week to look like? (M-F/8-5)
Are you looking for active or passive ownership?
What are your hobbies and outside interests?
Have you considered area development or a master franchise? (if appropriate)
Franchise
Why are you looking to buy a franchise?
What factors are most important to you when operating your own business?
Describe your abilities and personal / career accomplishments that will help you be a successful franchisee.
Have you looked at any other business?
What did you like or dislike about them?
Are you considering non-franchise startups or purchasing an existing business?
What is a realistic time frame to open?
What drives this time frame?
Will you have any partners? How many?
What part will partners have in franchise?
Do you want employees? How many?
How long have you been looking for a business?
Are you looking for a brick and mortar or home based?
If awarded a franchise, how soon are you able to begin your training?
In which geographical area would you prefer to operate your business? Briefly, explain the reason for your preferred choice.
Any other additional information that you feel is important and would contribute in the process of evaluating of your franchise application?
Which franchise type(s) are you interested in? circle what applies or delete what does not
Franchise types available
Automotive Business Services Children's Services Cleaning Services Coffee Computer & Internet Fast Food Financial Services Food & Beverage Home Based Ice Cream & Sweets Low Cost Franchises Master Franchises Meal Prep Personal Care Pet Pizza Restaurant Residential Services Retail Senior Care
Your Finances
How much is the total amount you planning to invest in a new business?
Will any be financed?
How much liquid capital do you have? (Includes checking, savings, stocks, bonds, IRA/401K, home equity, other real estate)
What is your net worth? (total assets minus liabilities)
Will this be your primary source of income?
What are your earning expectations?
Your Educational History
Name and Location of School Certificate or Degree earned
High School
College
Other
(include graduate school)
Other education or training
Your Membership to Community Groups
Which social, civic, fraternal, professional or other organizations do you belong to, if any?
Your Employment Background If you have a resume or a C.V. please attach and disregard the following section.
EMPLOYER
ADDRESS
JOB TITLE START FINISH
MONTHLY SALARY TYPE OF BUSINESS
RESPONSIBILITIES
Why do/did you wish to leave?
What do/did you like about this position?
What do/did you dislike about it?
EMPLOYER
ADDRESS
JOB TITLE Date START FINISH
MONTHLY SALARY TYPE OF BUSINESS
RESPONSIBILITIES
Why do/did you wish to leave?
What do/did you like about this position?
What do/did you dislike about it?
EMPLOYER
ADDRESS
JOB TITLE START FINISH
MONTHLY SALARY TYPE OF BUSINESS
RESPONSIBILITIES
Why do/did you wish to leave?
What do/did you like about this position?
What do/did you dislike about it?
Additional comments about franchise (what your looking for)