Franchise Application

Name (first, middle initial, last)(Required)

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Contact's Phone Number(Required)

Best time to call

Email(Required)

Military veteran?(Required)

Yes

Marital Status(Required)

Single

Married

Divorced

Do you plan for your spouse to be an owner also?(Required)

Yes

Undecided at this time

Spouse Name(Required)

Spouse's Email(Required)

Educational Background

Schools, High School, College, Graduate

Name of School, City, State

# Years Completed

Last Year Attended

Major / Degree

Please select the "+" at the right to add more information.*

Employment History

Use the space below to list employment history within the last five years, starting with the most current.

Dates

Company

City / State

Position

Income

Please select the "+" at the right to add more information.*

Management Background/Experience

Are you currently involved with a commercial or residential cleaning franchise?(Required)

Yes

If yes, what brand?(Required)

If "other", please explain:(Required)

Have you ever owned a business other than a cleaning company?(Required)

Yes

If yes, explain:(Required)

Have you ever managed a business other than a cleaning company?(Required)

Yes

If yes, explain:(Required)

Personal Financial Statement

Assets

Enter "0" if you do not have any assets for that section.

Checking Accounts(Required)

Savings Accounts(Required)

IRA/Retirement Accounts(Required)

Other Receivables(Required)

Stocks/Bonds/Investments(Required)

Real Estate(Required)

Automobiles(Required)

Other Personal Property(Required)

Other Assets(Required)

Total Assets(Required)

Liabilities

Enter "0" if you do not have any assets for that section.

Real Estate(Required)

Automobiles(Required)

Credit Cards(Required)

Other Personal Property(Required)

Other(Required)

Total Liabilities(Required)

Net Worth(Required)

Current Sources of Income

Salary(Required)

Description of Other Income(Required)

Net Investment Income(Required)

Real Estate Income(Required)

Other Income(Required)

Total Current Income(Required)

Financing Information

Cash available for this investment:(Required)

If the required amount is not available, how will the capital be obtained?(Required)

Will you finance any portion of this investment?(Required)

Yes

If you are financing, please explain:

Other Information

Have you ever claimed Insolvency or Bankruptcy for yourself or a company you owned?(Required)

Yes

If yes, explain:(Required)

Have you ever been convicted of a felony or criminal offense?(Required)

Yes

If yes, explain:(Required)

Have you ever filed bankruptcy? Had a real estate foreclosed? Had any liens against you?(Required)

Yes

If yes, explain:(Required)

Have you ever owned a business or do you now own a business?(Required)

Yes

If yes, explain:(Required)

What interests you most about owning an Office Pride franchise?(Required)

What is your primary motivation for starting a new business now?(Required)

Preferred Location and Timeline

Primary Location Choice(Required)

Are you open to consider other areas?(Required)

Yes

What is your time frame for establishing a franchise business?(Required)

Additional Comments:

By typing my name, I hereby affirm that this personal financial statement contains no willful misrepresentation of falsifications and this information given by me is true and complete to the best of my knowledge and belief. I also confirm and understand that this information will be kept confidential and that I will be required to furnish more detailed information about myself prior to the award and purchase of a franchise.(Required)

Date(Required)

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.