Franchisee Application

STEP 1: CONTACT INFORMATION
Applicant Information
Name: First: Middle: Last:
Email:
Telephone:
Cell Phone:
Birth Date: Month:  Day  Year: 
Marital Status:
Spouse Information
Name: First: Middle: Last:
Email:
Telephone:
Cell Phone:
Birth Date: Month: Day: Year:


STEP 2: RESIDENCE / HOUSEHOLD INFORMATION
Number of Children:
Please list age and name of each child:
Current Residence
Address:
City:
State:
Zip:
Country:
Telephone:
Fax:
Years of Residency:
Past Residence
Address:
City:
State:
Zip:
Country:
Years of Residency:


STEP 3: EMPLOYMENT INFORMATION
Applicant Information
Current Employment Status: Full-Time Part-Time
Self-Employed Unemployed
Employer:
(If unemployed, please list recent employer)
Position(s):
Years Employed:
Employer Address:
Annual Salary:
Telephone:
Spouse Information
Current Employment Status: Full-Time Part-Time
Self-Employed Unemployed
Employer:
(If unemployed, please list recent employer)
Position(s):
Years Employed:
Employer Address:
Annual Salary:
Telephone:

STEP 4: FINANCIAL INFORMATION
Net Worth of Investments:
Other Monthly Income not Listed Above:
Have you ever, or currently, owned your own business? Yes No
Name of Business:
Potential Business Partners for this Franchise:

STEP 5: EDUCATION & EXPERIENCE
Applicant Information
High School Graduate: Yes No
College:
Years Attended:
Degree:
Spouse Information
High School Graduate: Yes No
College:
Years Attended:
Degree:

STEP 6: PERSONAL INFORMATION
Are you a veteran of the U.S. Armed Forces? Yes No
Are you 65 or Older? Yes No
Are you a U.S. Citizen?

STEP 7: BUSINESS INFORMATION
Where did you hear about Cookie Advantage Franchise Opportunities?
Location of your Cookie Advantage franchise
What is your main motivation in owning your own business?
Would you need to finance the purchase and development of your Cookie Advantage franchise? If so, how?
If you are awarded a Cookie Advantage franchise, how soon are you available for training?

STEP 8: LEGAL INFORMATION
Is there any legal action pending against you?
Yes No
If yes, please explain:
Have you had any judgments against you?
Yes No
If yes, please explain:
Have you ever been convicted of a felony?
Yes No
If yes, please explain:
Have you ever, or are currently going through a Bankruptcy?
Yes No
If yes, please explain by indicating when and for what amount:
Confidentiality Agreement:

By checking this form field I confirm that I read and agree to the terms and conditions of the CONFIDENTIALITY agreement above

Please include email for FDD

Please enter your electronic signature below. Your name must be entered EXACTLY like you entered it above.
EXAMPLE: /Mary Jo Smith/

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