Franchise Evaluation Form:

The purpose of this form is to evaluate your business qualifications as a franchisee. Please fill in the following information as completely as possible.

PRIVACY POLICY:

All information provided is kept confidential and will not be disclosed except for purposes of verification.

Please answer all questions. Write clearly or print

Section

Name
Name
FIRST NAME
MIDDLE NAME
LAST NAME

Section

Section

CURRENT ADDRESS
CURRENT ADDRESS
City
State/Province
Zip/Postal

Section

FULL NAME OF SPOUSE (IF APPLICABLE)
FULL NAME OF SPOUSE (IF APPLICABLE)
First
Last

APPLICANT’S BUSINESS PLANS

DESCRIBE FULLY – WHERE IS THE CAPITAL?

The Undersigned confirms that the above information is provided to the best of his/her knowledge. Applicant gives consent and authorizes the Franchisor and all of Franchisor’s representatives to make any and all inquiries necessary to verify the information provided herein. This information includes, but is not limited to, direct contact with the Applicant’s current and previous employers, credit holders, credit references, and financial institutions.