S Factor Studio Licensing Application
Email address *
Full Name (First & Last) *
Your answer
Why are you interested in licensing an S Factor Studio? *
Your answer
What makes you an ideal Studio Licensee? *
Your answer
Telephone Number *
Your answer
Address *
Your answer
Own or Rent *
Your answer
# years and months at address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Are you a US Citizen? *
Marital Status *
If Married, will your spouse have an active role in the business?
If Spouse will have an active role in the business, please describe.
Your answer
EDUCATION
Highest level of education *
College or University attended (if applicable)
Your answer
College Graduation date (if applicable)
MM
/
DD
/
YYYY
Degree achieved & major (if applicable)
Your answer
BUSINESS EXPERIENCE
Have you ever owned a business? *
Do you have any prior experience operating a fitness or service related business? *
Do you have any prior experience in operating a franchise or licensed business? *
Please describe your professional experience and background. *
Your answer
Please list your current employer, dates employed and title. *
Your answer
Please list your former employers, dates employed and title (10 year history) *
Your answer
FINANCIAL
Please provide all financial information. A credit check will not be run until separate authorization is obtained.
Social Security Number
Your answer
What was your Gross Income from prior years tax return? *
Your answer
Where will your investment monies come from? (You may check more than one *
How much money do you have to invest? *
Do you intend to have investment partners? (complete applications are required for all partners) *
If you will have investment partners, provide the name of the partner in the space below. They will need to complete a separate application and should list your name on their application.
Your answer
Will you request financing from S Factor Corp? *
If you will request financing, provide a statement funds available for your initial deposit and request for proposed repayment of initial fees over 3-5 years.
Your answer
LOCATION
Have you identified a site location? *
Please list site location if identified, or proposed geographical region preferred. (please note that approval of your application will not imply any development rights to a site or area you identify) *
Your answer
DECLARATION
Have you ever been convicted of a crime, other than a minor traffic violation? *
Do you have any felony charges pending, or are you under indictment? *
Have you been involved in any civil litigation in the past five years? *
Have you ever been the subject of a petition in bankruptcy? *
Has any company you previously ran become insolvent? *
If you have replied “Yes” to any question above, please provide details:
Your answer
By returning this application, the applicant certifies that all information provided herewith is true and accurate to the best of his knowledge. A wet signature will be required if your application is accepted. If the applicant is found to have willfully provided misleading information, this application for the license and its subsequent award, if any, may be deemed null and void. *
Except to the extent necessary to process this application, otherwise described below, or required by law, we and our affiliates will keep your financial and personal information confidential. We will not contact your current employer without your consent. *
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