FRANCHISE APPLICATION & EQ TEST
EQ Test
FRANCHISE APPLICATION & EQ TEST
Menu

FRANCHISE APPLICATION & EQ TEST

1 10% complete

2 20% complete

3 30% complete

4 40% complete

5 50% complete

6 60% complete

7 70% complete

8

Applicant's Full Name:*
Birth Date
Co-Applicant?
- Yes
- No
Co-Applicant Full Name:
Birth Date
Applicant's Address
Address
Street Address Address Line 2 City State ZIP Code
Email*
Cell Phone*
Best Time to Call
Home Phone
Best Time to Call
Work Phone
Best Time to Call

EDUCATION
High School Diploma
- Yes
- No
College
Years
Major
Other
Co-Applicant EDUCATION
High School Diploma
- Yes
- No
College
Years
Major
Other

Activities, Hobbies, Interests:
How long have you been looking for a business?
How did you hear about us? If it was a franchise listing site, which one?
What other businesses / franchises have you investigated?

EMPLOYMENT AND BUSINESS DATA
Firm
Address
Street Address Address Line 2 City State ZIP Code
Position / Title
Present Annual Salary
Dates of Employment (from - to)
Description of Work
CO-APPLICANT EMPLOYMENT AND BUSINESS DATA
Firm
Address
Street Address Address Line 2 City State ZIP Code
Position / Title
Present Annual Salary
Dates of Employment (from - to)
Description of Work

FINANCIAL DATA Present Financial Status
(or attach current Financial Statement)
Drop files here or
ASSETS
Cash on Hand and in Banks*
Savings Funds/Certificates
Stocks, Bonds and Securities
Retirement Plans, IRA, 401k
Home (Market Value)
Other Real Estate (Market Value)
Autos (Market Value)
Insurance Cash Value
Money Due You
Personal Property
Other Assets
Describe "Other Assets"

LIABILITIES
Notes Payable
Revolving A/C Balances
Charge Card Balances
Home Mortgage Balance
Other Real Estate Debt
Auto Loans
1 - Other Debts
2 - Other Debts
3 - Other Debts
4 - Other Debts
Describe "Other Debts"

Liquid Cash*
Cash available for investment in this business*
Where is it coming from?*
If financing part of the investment is necessary, what source do you have in mind? Check all that apply*
- Home Equity
- Bank
- SBA
- 401k Rollover
- No Financing Is Necessary
Do you plan to have a partner(s) other than the co-applicant?
- Yes
- No
Do you plan to have investors
- Yes
- No
Are you and your Co-Applicant US Citizens?*
- Yes
- No
Have you or Co-Applicant ever been involved in a personal or business bankruptcy?*
- Yes
- No
Are you or the Co-Applicant part of any criminal investigation at this time?*
- Yes
- No
Have you or your Co-Applicant ever been convicted of any crime?*
- Yes
- No
Are there currently any civil judgements against you or your Co-Applicant?*
- Yes
- No
Are there currently any civil suits pending against you or your Co-Applicant?*
- Yes
- No
What are your approximate total monthly living expenses?*
Do you have sources of income other than salary?*
- Yes
- No

Area preferred County, State
Choice #2 County, State
Choice #3 County, State
When would you like your first franchise to open?*
Do you intend to:*
- Run the franchise Part-Time
- Run the franchise Full-Time
- Hire a Manager to run the business
What are your reasons for going into your own business?*
What are some of the major questions you have concerning owning your own business?*
What skills and experience do you have that would give you the ability to succeed in this business?*
Comments:

Scroll to top