Personal Profile to Request More Information

Personal Data
(Fields marked with an * are required.)

* First name:

* Last name:

* Email address:

Age:

Permanent Mailing Adress:

City:

State:

Zip Code:

Phone number:

Best time to call:

Are you a US citizen?

If no, are you eligible to own a business?

Do you have children?

If yes, what are their ages?

Education (Choose highest level):

College/university:

Degree:

Major:

Business Data

Current company name:

Current job title:

Current salary:

What date did you start?

Description of work:

Previous company name:

Previous job title:

Previous salary:

Previous company name:

Previous job title:

Previous salary:

How long have you been looking for a business?

How did you hear about our franchise?

Financial Data

Financial status as of (date)

Cash on hand/in banks:

Savings:

Stocks and bonds:

Real estate:

Other assets (specify):

Total assets:

Real estate mortgages:

Notes outstanding:

Credit card loans:

Automobile loans:

Other liabilities (specify):

Net worth (assets minus liabilities):

Do you have a source of financing?

Will you use personal assets to finance? Please explain.

Have you filed for bankruptcy in the last seven years?

How much capital do you have to invest in this business?

Do you plan to have a partner?

If yes, will this partner be active?

Do you plan to have investors?

If so, to what extent?

How do you rate your sales ability?

How do you rate your interest in this franchise?

Please send your resume to us at franchise@collegeassistanceplus.com. Thank you!

By submitting this form, you are certifying that the information you have provided on this initial application is complete and correct. False and misleading statements on this form are grounds for terminating the application process, and/or grounds for terminating your franchise, should you be granted one.

41 West Main Street, Suite 5 | Honeoye Falls, NY 14472 | 585.582.1846
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