Franchising Application Personal Information Name Email Address City Province Postal Code Home Phone: Work Phone: Cell Phone: Fax: Language(s) Spoken: Employment Work Experience and/or Other Business Current Occupation Position Employer Address City Province Postal Code Telephone Contact Name Duration of Employment Annual Salary Describe your tasks and responsibilities and indicate the number of employees under your supervision: Business History Do you have related experience to this industry? YesNo If yes, please detail: Have you ever owned your own business or franchise? YesNo Why do you feel you would be a successful franchisee? (Please be specific). How many hours per week are you willing to devote to the business? Will your partner/spouse be active in this business? If yes, please have them submit a separate application. YesNo When would you be able to start this venture? Immediately3 Months6 Months12 Months18 Months24 Months Please list your desired franchise location: First Choice: Second Choice: Third Choice: What is your projected time frame for realizing this project? (Please be specific). References Reference 1 Name Phone Address Employer Contact Reference 2 Name Phone Address Employer Contact Reference 3 Name Phone Address Employer Contact May we contact these references today? YesNo Personal Financial Statement Assets Cash Total Assets Will you devote your full time to this business? YesNo What are your reasons for wanting to start your own business? Annual Income Salary Bonus/Commissions Dividends/Interest Other Sources Specify Total Investor Information Number of Applicants All partners must complete a franchise application. Do you have other partners? YesNo If yes, are they active partners? YesNo Do you plan to have other investors? YesNo If yes, please specify: Authorization I certify the accuracy of the information herein submitted. I give authority to the Crest Kitchens company to carry out a routine credit inquiry. I declare that the following information enclosed in the present document is true and I hereby authorize the company to make any necessary inquiry on the enclosed information, provided that this inquiry remains confidential. I accept that Crest Kitchens if judged necessary, may obtain personal information from an authorized information agent. It is understood that the information will be confidential between myself and the company and is only to be used for the analysis of the current application. Submit Back to Franchising Info
