PRELIMINARY FRANCHISE APPLICATION 1. PERSONAL INFORMATION You: First Name: Address1: City: Zip/Postal Code: Cell Phone: Last Name: Address2: State/Province: Phone: Work Phone: Email: List dependants and ages: 1. PERSONAL INFORMATION PT. 2 Business Partner/Spouse/Significant Other: First name: Address1: City: Zip/Postal Code: Cell Phone: Last name: Address2: State/Province: Phone: Work Phone: Email: List dependants and ages: 2. BUSINESS BACKGROUND Yourself: Present Employer: Title:
Job Description: Length of Employment: Annual Salary: Other/Previous Positions of Significance: Other sources of Income: If you have a current resume please copy and paste your resume in the space below: Please describe your level of computer skills in the following: Microsoft Word: None Excel None Internet None 2. BUSINESS BACKGROUND PT. 2 Spouse/Significant Other/Partner: Present Employer: Job Description: Title: Length of Employment: Annual Salary:
Other/Previous Positions of Significance: Other sources of Income: If you have a current resume please copy and paste your resume in the space below: 3. ABOUT YOU Please describe your ongoing or past community/civic involvement, providing as much detail as possible, including dates, responsibilities, achievements, etc.: Your Educational Background: School Attended (Name, City) Years Grade or Degree Attained How did you become interested in City Kitty?: What are your primary reasons for wanting to own your own business?:
What are your primary concerns with owning and operating your own business?: Please tell us why you believe you will be a successful City Kitty franchise owner. Make specific reference to desirable character traits, your transferable skills, your work experience, and your professional goals: Have you ever been convicted of a felony? If yes, please explain. : Do you plan on having a business partner? Partner's Name: Yes Phone Number: Is your business partner planning on being active in the business, and in what capacity? Are you planning to have your spouse active in the business, and in what capacity? Will any other family members be involved in the business? What is the extent of your research into franchising, and City Kitty? What are the main benefits you hope to gain from the City Kitty franchise system?
Have you ever owned a franchise before? If so, please describe. Have you ever run your own business? If so, please describe. Planned grand opening date of your City Kitty franchise: In what geographical area(s) (County) would you like to open your franchise(s)? First Choice: City/County Second Choice: City/County Third Choice: City/County Estimated Population Estimated Population Estimated Population Are you interested in multiple units?: Yes 4. FINANCIAL INFORMATION ASSETS Cash on hand & in Banks LIABILITIES Notes Payable to Banks Stocks, Bonds, Securities Notes Payable to Individuals Retirement Funds Total Credit Card Debt Loans Owed to You Vehicle Loans Primary Residence Home Mortgage Other Real Estate Other Mortgage Businesses Owned Student Loans Any Other Assets Any Other Debts
Total Assets Total Liabilities Amount of capital to invest: Source of Capital: Estimated credit rating: Excellent Score if known: Have you or your spouse ever filed for business or personal bankruptcy?: Yes If yes, when?: Have you ever had a judgment or lien entered against you? Yes If yes, please explain: Other financial information that may be pertinent to your financial status: This is not a contractual agreement. The signing of this agreement does not bind or obligate you in the purchase of a City Kitty franchise.