First name *

Last name *

Street Address *

City *

State *

Postal code *

Cell phone number *

Email *

Marital Status *

Are you a US citizen? *

Is there a specific franchise brand/business you are interested in? *

Have you spoken with a franchisor about any specific brand/business yet? *

Have you ever worked with a franchise consultant before? *

Current title and Job type

Your annual compensation

$

Spouse's current title and Job type

Spouse's annual compensation

$

What are some of your professional strengths and skills that make you great?

What areas of management do you prefer to hire out or delegate (e.g., Accounting, Sales, Operations)?

How many years of management experience do you have? *

How many years of sales experience do you have? *

Ownership Preferences

Have you ever owned or do you currently own a business? *

Please tell us a little about your business ownership experience.

Have you ever owned or do you currently own a franchise? *

Which franchise(s) have you owned in the past or do you currently own?

How many hours per week do you intend on working within the company for the 1st year? *

When are you looking to buy a franchise? *

How long have you been looking for a franchise/business?

What has held you back from business ownership in the past?

What are your hobbies and interests?

Additional Information

Have you and/or your spouse ever served in the US military? *

Have you or your spouse ever filed for or declared a bankruptcy? *

Have you or your spouse ever been convicted of a felony? *

Financial Profile

This information is important as franchisors set minimum liquidity and net worth requirements for their brands. Financial numbers may be approximate.

What is your credit score? *

Retirement Funds (401k's TSP's, IRA's etc.)

$

Non-Retirement Funds (stocks, bonds and cash)

$

Real Estate Equity (value less debt)

$

Other assets

$

Total Liquid Assets *

$

Net Worth *

$