Franchise Application

Personal Information

Title
Last Name*
First Name*
Middle Name
Street Address
City
State
Zip Code
Home Phone*
Business Phone*
Email Address*
Best Time to Call
Date of Birth
Marital Status
Name of Spouse
Education
Spouse's Education

Business Information

Present Occupation or Profession
Company
Type of Business
Address
Position Held
Employed Since

 

Previous Occupation or Profession
Company
Type of Business
Address
Position Held
Employed From/To
Name of Supervisor
Telephone

 

Have you ever owned a franchised food operation?
YesNo
If yes, please give name and location, and if no longer in operation, give reason terminated.
Are you involved in any contractual agreements that may interfere with your becoming a franchisee?
YesNo
If yes, explain
Have you, or any business entity in which you have owned an interest, declared bankruptcy or been declared insolvent?
YesNo
If yes, give details
Are you a party, or have you ever been a party, either as a plaintiff or defendant, to any lawsuits or legal actions?
YesNo
If yes, explain
Have you ever been convicted of any crimes?
YesNo
If yes, give details
Will you devote full time to this business?
YesNo
If no, indicate how much time will be devoted
Do you plan to operate the business yourself?
YesNo
Or hire outside management?
YesNo
Do you plan on allowing shareholders, partners, or associates to join you in this venture?
YesNo
If yes, each shareholder, partner, or associate will need to complete one of these forms.

Last Name
First Name
Middle Name
Occupation

City
State
Zip Code

Which of the shareholders, partners, or associates will be involved in operations? (list addresses and phone numbers if not already completed)
Are there any factors that could affect your ability to operate a restaurant? If so, please list
In what area or specific location are you interested? (Please be as specific as possible)

First Choice
Second Choice
Third Choice


Business and Personal References

Name
Occupation
Telephone
Address

 

Name
Occupation
Telephone
Address

 

Name
Occupation
Telephone
Address

Corporate Information
(please complete only if applying for franchise under corporate name)

Name of Corporation
Address
Telephone
President
Vice President
Sec./Tres.
List all shareholders with ownership of 5% or more
Type of banking accounts maintained
After submittal and review of this form and before approval, a personal financial statement must be provided.