Franchise Application

This franchise application for franchise will help you in preparing and presenting your personal information for confidential use by franchise to determine your qualifications as a franchisee. Please complete it with as much detail as possible.

The completion of this form places no continuing obligation on either party.

Please have each person signing fill out a separate application.

"*" indicates required fields

Name
Address
Are you a US Citizen?*
Do you have access to the funds needed to open a franchise?*
Are you a defendant in any lawsuits or legal action?*
Are you a veteran?*
Have you ever filed bankruptcy or are you in process of filing bankruptcy?*
Have you ever been convicted of a felony or misdemeanor (other than traffic violations)?*
MM slash DD slash YYYY
Do You Have a Spouse or Partner That Will Be Actively Involved in the Franchise?*
Do You Plan on Financing Any Portion of Your Franchise?*
Rate Your Overall Computer Skills, 5 being the highest
Rate Your Overall Networking and Sales Skills, 5 being the highest
Rate Your Organizational Skills, 5 being the highest
Authorize*

Franchise is an equal opportunity company and does not discriminate against applicants with regard to race, color, gender, sexual orientation, age, religion, disability or any characteristic protected by applicable law.

I understand that inquires on this application, which ask for my address and date of birth, are for identification purposes only. I understand that age is not considered in making decisions concerning independent franchisees.

I release Franchise or its agents and any person or entity that provides information pursuant to this form any and all liabilities arising from any claims, lawsuits, or other actions in regard to the information obtained from any and all of the above-referenced sources.

I further agree that the giving of any false, misleading or incomplete information will be grounds for denial or termination.

I agree on my own behalf to indemnify, defend and hold harmless Franchise, its parent, subsidiaries, affiliates, employees. agents and customers from and against any demands, claims, liability arising from the gathering and use of any information obtained from any and all of the above referenced sources.

The above information is my true and complete legal name and all information is correct to the best of my knowledge.