REQUEST FOR CONSIDERATION
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Name
Address
City
State
Zip
ownership
Clear selection
Business Phone
Home Phone
Cell Phone
Best Time to Call
Date of Birth
Drivers License No
State Issued
Marital Status
Clear selection
Spouse's Name
Spouse's Occupation
Number of Dependents
Ages
How did you become aware of this opportunity?
Present/Most Recent Position
Previous Position
Previous Position
Do you have specific direct sales/marketing experience?
(please explain)
PLEASE PASTE A COPY OF RESUME
Do you plan to devote full-time to this business?
Clear selection
Will your spouse be active in the franchise?
Clear selection
Do you plan to have equity partners?
Clear selection
What are your desired income goals?
1 year / 3 years
How many hours do you plan to devote towards the business per week?
How much income do you require to maintain your standard of living?
Name
Name 2
Name 3
Address
Address 2
Address 3
Telephone
Telephone 2
Telephone 3
Active in Franchising
Active in Franchising 2
Active in Franchising 3
Location Preference
1st Choice, 2nd Choice, 3rd Choice
Planned date to open unit
Assets
Liabilities
Net Worth
Unencumbered Liquid Assets Available
How do you plan to fund the estimated start up cost of the Initial Unit?
Why do you believe you can successfully operate a Mike's Place Franchise?
How will the Mike's Place franchise opportunity help you achieve personal and business goals?
What do you see as the benefits of being awarded a franchise license ?
versus a non-franchise type of business
If you found the right opportunity, could you make a decision to go forward in 30, 60 or 90 days?
Additional information or comments that should be taken into consideration when evaluating your Request for Consideration
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