FRANCHISE APPLICATION FORM (This application does not obligate either party in any manner)

Transcription

1 ATTENTION : Je vous remercie de votre intérêt pour une franchise de Java U. LE FORMULAIRE de DEMANDE de FRANCHISE nous aidera à établir une correspondance avec notre profil utilisé dans la sélection d un nouveau franchisé. La présentation et l acceptation d un questionnaire ne devraient pas être interprétées comme une approbation ou une garantie future de devenir propriétaire de café Java U. Pour devenir un propriétaire de café Java U, il y a un processus d approbation/réunion formelle qui est entrepris avec les candidats qui ont été présélectionnés pour une occasion particulière. Nous ne comptent pas de nos candidats dans l ordre numérique, ni examen de base sur la durée de qu'une demande a été versé au dossier. Au moment de la réalisation d une recherche pour un nouveau franchisé, nous choisissons les candidats plus qualifiés chez les demandes en instance au dossier, et le mieux correspond à notre concept d affaires. Un paquet de franchise complète (y compris une analyse de seuil de rentabilité) est fourni uniquement lorsqu un candidat a été présélectionné pour une occasion particulière. Les projections ne sont pas disponibles avant un candidat en lice. Je vous remercie de votre intérêt pour Java U, Cordialement, Lou Varoutsos CEO Café Java U inc.

2 PERSONAL INFORMATION M. Mrs. Ms. First Name: Nom: Address: Apt. #: City: Province: Postal Code: Home Phone: Business Phone: Social Insurance Number: Drivers licence: Date of birth (DD/MM/YYYY): PROFESSIONAL EXPERIENCE Present Employer: Nature of Business: Position: Name of Supervisor: City/Province: Start Date: Salary: Title: Previous Employer: Nature of Business: Position: Name of Supervisor: City/Province: Start Date/End Date: Salary: Title: LOCATIONS PREFERENCES (if accepted) 1) City : Province : 2) City : Province : 3) City : Province :

3 GENERAL QUESTIONS Will this franchise enable you to exploit your personal ability and skills? If so, please explain: Will your family support this project? If so, please explain: According to you, what will be your role as a franchisee? Do you think you have the personality required to be self\employed? If so, please explain: Will you be able to manage your employees? If so how will you proceed? What are your goals with this project? Short term: Mid-term: Long term :

4 INVESTMENT STRUCTURE Private Spouse Investor Group Friend Other Details: Will your partners be active in this business? Yes No Will they be working full or part\time? Full Part What level of income do you expect/require to draw from this business per year? CREDIT REFERRAL (Credit card or past creditor(s)) 1) 2) Bank name: Account number: Store : Address :

5 MONTHLY INCOME Salary : Spouse : Other : Total : MONTHLY CURRENT PAYMENTS Mortgage(s): Credit card(s): Loan payment(s): Other : Total : FINANCIAL STATEMENT Please do not combine (if applicable) non-spousal partner s financial information. ASSETS ($) LIABILITIES ($) Cash on hand: Securities (mutual funds, stocks, etc.) : Home (market value) : Other Real\Estate : Personal Property : Business Interests: Mortgages / home: Mortgages /other: Notes Payable: Credit Cards: Operating Line: Other Liabilities: Other Assets: Total Assets: Total Liabilities: NET WORTH (total assets - total liabilities):

6 ACKNOWLEDGEMENT AND CONSENT The undersigned acknowledges that the statements and information made in the attached FRANCHISE APPLICATION FORM fully and truthfully set forth the true and accurate personal information and financial conditions of the applicants as of the date hereof. The undersigned further acknowledges that for the purposes of determining whether or not the undersigned would be a suitable Java U franchisee, an investigation may be made with respect to the information above, as well as further information with respect to the undersigned`s financial status, litigation history, criminal record history, educational credentials, employment history, driving record, character and general reputation, personal characteristics and mode of living. The undersigned hereby consents to Java U or its agents collecting and retaining such information and conducting further investigations with respect to such information. The undersigned can access his file and make changes to his information by submitting a written request to Java U. Date (DD/MM/YYYY): Print Name: Signature of Applicant: