How To Start a Senior Care Franchise | Always Best Care Franchise

First Name

Last Name

Age

First Name

Last Name

Age

Dependent 1

Dependent 2

Dependent 3

Email Address

Address 1

Address 2

City

State

Zip Code

Home Phone

Best Time to Call

Work Phone

Best Time to Call

Fax

Highest Education

High School

College 1

Date Graduated

College 2

Date Graduated

Special

Date Graduated

Company

Position

Duties

Compensation

Company

Position

Duties

Compensation

Have you ever owned your own business?

YesNo

How long have you been looking for a business?

What other businesses have you investigated?

Area preferred?

Are you seeking:

Individual FranchiseMultiple FranchisesMaster/Area Representative

When would you like your first franchise to open?

Would you be involved:

Full TimePart Time

What attracts you to owning your own business?

What have you liked the most and least about past jobs?

What are your strengths and weaknesses related to managing a business?

What are your major questions or concerns about business ownership?

What hours of the day or week do you prefer to work?

How would you rate your sales or interest abilities?

How would you rate your people management interests or abilities?

How would you rate the importance of status (what other people think) in the selection of a business?

How important is it to be able to grow additional units?

How important is it to make a meaningful contribution with your business?

Cash in Hand & in Bank

Savings Funds/Certificates

Stock, Bonds & Securities

Retirement Plans, IRA, 401K

Home Market Value

Other Real Estate (market value)

Autos (market value)

Money Due to You

Personal Property

Other Assets

Total Assets

Total Liabilities

Net Worth

Total Assets

Cash Availability for Investment

Have you or your spouse ever been involved in a personal or business bankruptcy?

YesNo

Have you or your spouse ever been convicted of a crime?

YesNo

Are you or your spouse currently under any type of criminal investigation?

YesNo

Are you or your spouse involved in any pending civil lawsuits?

YesNo

Are you or your spouse subject to any civil judgments?

YesNo

Please explain any affirmative answers to the previous five questions

COMMENTS OR QUESTIONS

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Application

ARE YOU READY FOR THE NEXT STEP?

APPLICANT

YOUR SPOUSE

DEPENDENTS

ADDRESS

CONTACT

EDUCATION

YOUR CURRENT POSITION

YOUR SPOUSE'S CURRENT POSITION

GENERAL

ASSETS

JUDICIAL INFORMATION

Next Steps

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