Franchise Candidate Application

Transcription

1 Hard Exercise Works Riverside Dr. #101, Palm Beach Gardens, Florida, Franchise Candidate Application Date: Name: Address: City, State, Zip: Business #: Home #: Cell #: Preferred Method of Contact (check one) Home Phone Cell Business Phone THIS IS NOT A CONTRACT This is not a contract and does not obligate either party in any manner. All information will be held in complete confidence. Thank you for your interest in the Hard Exercise Works Brand. Please take a moment to fill out this application. Step 1: Tell us about yourself and what interests you in Hard Exercise Works Brand. 1. With all the franchise business opportunities available, please take a few minutes to explain your interest in Hard Exercise Works Brand. What specifically has led you to our fitness franchise opportunity?

2 2. What are your personal and professional interests? Please share a little about yourself and how you are pursing your interests.(any fitness background?) Step 2: General Personal Information Marital Status: Marital Status: Date of Birth: SSN: Spouses Name: Spouses Occupation: General Health: Total Dependents: Home: Own/Rent Former Residence (if less than 5 years) How long?: Are you active in the military? Are you a veteran? (if yes are you able to provide your DD214 Form?)

3 What was the source that led you to Hard Exercise Works? Are you a business broker? (if yes please name brokerage) Professional Experience (Last 5 years or attach resume) Company: Position: Describe Duties: Company: Position: Describe Duties: Address: Employed from to Address: Employed from to Education Select last year of school completed: High School:!!!!!!! College: Post Graduate: School/University Name:!!!!! Year Graduated: Degree:!!!!!!! Special Certification: Business References 1. Company:!!!!!!! Phone: Contact:!!!!!!! Address: 2. Company:!!!!!!! Phone: Contact:!!!!!!! Address: Personal References 1. Name:!!!!!!! Address: Phone:!!!!!!! Years Known: 2. Name:!!!!!!! Address: Phone:!!!!!!! Years Known:

4 Step 3: Personal Financial Statement Assets: Cash on hand and Unrestricted in banks!!!! $ U.S. Government Securities!!!!! $ Notes Receivable!!!!!! $ Life Insurance, Cash Surrender Value!!!! $ (Do not deduct loans) Other Stocks and Bonds, please list on a separate sheet and attach to this Document!!!!!! $ Real Estate, please list on a separate sheet and attach to this Document!!!!!!! $ Automobiles registered in own name!!!! $ Itemize other assets!!!!!! $ Total Assets!!!!!!! $ Liabilities: Notes Payable to Banks!!!!! $ Notes Payable to others!!!!! $ Notes agains Life Insurance!!!!! $ Taxes and Assessments Payable!!!! $ Mortgages payable on Real Estate!!!! $ Brokers Margin Accounts!!!!! $ Itemize other liabilities!!!!!! $ Total Liabilities!!!!!!! $ Total Assets - Total Liabilities = Net Worth!!! $ Current Sources of Income Annualized Salary!!!!!! $ Bonus and Commissions!!!!! $ Dividends and interest!!!!!! $ Real Estate Income!!!!!! $ Other Sources of Income!!!!! $ Total Income!!!!!!! $ Total Capital Available to Invest in Your Franchise!! $

5 Step 4: General Franchise Information Franchise Location Information: 1st Choice:! Country! City!State 2nd Choice:! Country! City!State 3rd Choice:! Country! City!State Please tell us how much time each week you intend to spend in your new business? Please explain your other time obligations: How do you intend to fund this operation? What do you consider your strengths as a business person? How do you feel about following a proven operating system that includes required standards and certain restrictions? Have you ever failed in business, or been compromised with creditors? If yes, please explain: Have you ever been convicted of a felony? If yes, please explain: Have you ever filed for bankruptcy? If yes, please explain: Applicant: Please read and sign. It is understood that this application is for evaluation and review purposes only and is not a contract or offering of any kind. It is understood, however, that the applicant supplies this information to the best of his/her knowledge and ability and that Hard Exercise Works will rely on the factual data in assessing the desirability and qualifications of each applicant. Your signature below indicates that the information provided is accurate and is your authorization for Hard Exercise Works to conduct credit and other necessary background evaluations. Submitted: Printed Name: Signature: