Franchise Application

First Name*
Last Name*
Email*
Social Security Number*
Date of Birth*
MM
DD
YYYY
Spouse's / Partner's First Name*
Spouse's / Partner's Last Name*
Spouse's / Partner's Date of Birth
MM
DD
YYYY
Spouse's / Partner's Social Security Number*
Spouse's / Partner's Email
City*
State / Providence / Region*
Zip / Postal Code*
Country*
Phone Number*
Number of Children / Dependents
Best Place / Time to Reach you*
Background
Are you a U.S. citizen?
If no, please explain your immigration status:
Have you ever been convicted of any offense (under a criminal statute or other licensing or administrative regulation)?
If yes, please explain
Have you ever filed for bankruptcy or had a bankruptcy petition filed against an entity in which you had an ownership interest?*
If yes, please explain
Are you currently a party to any pending legal action or administrative investigation or hearing?*
If yes, please explain
Do you own an existing landscape business?*
- Yes
- No
Are you a veteran of the U.S. armed forces?*
- Yes
- No
Education
Your Education*
Spouse's / Partner's Education
Your Employment History
Your Employer*
Position / Title*
Yearly Gross Compensation*
Date Started*
Spouse's / Partner's Employment History
Spouse's / Partner's Employer
Position / Title
Date Started
Will he / she continue to work?
Miscellaneous
Military Service
How long have you been looking at a business?*
What other businesses have you investigated?*
How did you hear about U.S. Lawns?*
Assets (Example: 1234.00, if amount is zero please indicate with "0")
Amount of Cash to Invest*
Cash / Savings, Funds / Certificates*
Retirement Plans, IRA, 401k*
Home Market Value*
Other Assets*
Liabilities
Notes Payable*
Notes Payable Secured
Notes Payable Unsecured*
Home Mortgage Balance*
Other Real Estate Debt*
Other Debts*
NET WORTH (Please Calculate as Total Assets minus Total Liabilities)*
Monthly Expenses
Home*
Auto*
Living*
Other*
Additional Financial Info
Do you have sources of income other than salary?*
If so, describe source and amount/year
Cash available for investment in this business*
Are additional funds available to you? Please explain.*
General Information
Have you ever owned another business?*
Was it an independent or a franchise? Name of franchise organization*
Are you still related to this organization?*
If NOT, please give details.
Have you ever failed in a business?*
Has anyone in your family been an entrepreneur? If so, what was their relation to you and what business did they start?*
If YES, please give details
Is a franchise right for you?
Can you follow somebody else's guidance, even when you think you have a better way?*
Can you handle stress? Do you have the mental ability to meet everyday needs of operating your own business?*
Do you like people? Do you listen? Do you have patience when working and interacting with others?*
Do you have the ability to sell - yourself and services?*
About Your Business
What are your reasons for going into your own business?*
What are some questions you have concerning owning your own business?*
What skills and experience do you have that would give you the ability to be successful in this business?*
City and State you are interested in opening your U.S. Lawns office*
I certify that, to the best of my knowledge, the information contained herein is accurate and complete. U.S. Lawns is hereby authorized to investigate my background as it pertains to qualification, business considerations and status. This may include investigations of employment, personal and professional references, education and information contained in public records including credit, criminal and motor vehicle data. I release all such person and companies form any liability or damages from having furnished such information.*
To verify records, please provide the following information:
Your initials*
Today's date*
Spouse's / Partner's initials
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