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.