We value the information you share with us. Your input will be crucial in assessing your qualifications as a potential Franchise Owner. Please fill out the following information as completely as possible.

Applicant Information

First Name *
Last Name *
Phone
Mobile Phone *
(SMS Charges May Apply)
Email Address *
Linkedin Profile URL
Please cut and paste
Date of Birth *
US Citizen? *
Marital status *

Please note: If you are completing this application with your spouse, one submission is acceptable.

Current Address *
City *
State *
Zip Code *
Do you have any children? *
Names and Ages of Dependent Children *
Interests/Hobbies

Spouse Information

First Name *
Last Name *
Phone
Mobile Phone *
(SMS Charges May Apply)
Email Address *
Linkedin Profile URL
Date of Birth *
US Citizen? *
Will spouse be actively involved in the franchise? *
Will other investors participate in this franchise? *
Please indicate name(s) and explain fully *

If you are completing this application with a business partner, both parties will need to submit a separate questionnaire.

How would you be involved in the business? *
How long have you been looking for a business or franchise?
Why are you considering a franchise now?
What is your timeframe for finding the right business? *
Preferred Locations *
Rate your sales skills on a scale of 1 to 10 *
Rate your management skills on a scale of 1 to 10 *
Rate your interest in franchising on a scale of 1 to 10 *
What aspects of business ownership/entrepreneurship do you find attractive?
What are your strengths and weaknesses related to managing a business?
What skills/experience do you feel will help you excel as a business owner?
What are the most important things to you when considering a business?

Please provide a comprehensive record of your professional experience, starting from your current or most recent position. This should also include any military service you have had.

Applicant Background

What is your highest level of education?
Have you been in business for yourself?

Employment

At Least 1 is Required

Military

Have you ever or do you currently serve in The Armed Services ? *
Service Branch
Current or Highest Rank:
Have you heard about our Veteran Discount Program?

Spouse Background

What is your highest level of education? *

Employment

At Least 1 is Required

Military

Have you ever or do you currently serve in The Armed Services ? *
Service Branch *
Current or Highest Rank: *
Have you heard about our Veteran Discount Program? *
Have you or your spouse ever been convicted of a crime? *
Please Explain *
Are you or your spouse currently under any type of criminal investigations? *
Please Explain *
Have you ever been involved in a personal or business bankruptcy *
Please Explain *
Are you or your spouse currently involved in any pending lawsuits? *
Please Explain *
Are you or your spouse subject to any civil judgments? *
Please Explain *

Assets

Cash in Checking & Savings *
Stocks/Bonds/Securities
Retirement Plan/IRA/401(k)
Personal Residence (market value)
Other Real Estate (market value)
Autos (market value)
Value of Your Own Business
Other Assets
Describe Other Assets

Liabilities

Notes Payable
Describe Any Notes Payable
Personal Residence Mortgage
Other Real Estate Mortgage(s)
Auto Loan(s)
Credit Card Balances
Taxes Payable
Describe Any Taxes Payable
Other Liabilities
Describe Other Liabilities
TOTAL ASSETS
$
0.00
TOTAL LIABILITIES
$
0.00
NET WORTH
$
0.00

Monthly Income

Salary (Monthly)
Bonuses or Commission (Monthly)
Dividends and Interest (Monthly)
Real Estate Income (Monthly)
Other Income (Monthly)
Please explain Other Income

Monthly Expenses

Rent or Mortgage (Monthly)
Utilities (Monthly)
Incidentals (Monthly)
Monthly Auto Loans
Other Loans/Notes (Monthly)
Medical (Monthly)
Taxes Payable (Monthly)
Credit Cards (Monthly)
Total Monthly Income
$
0.00
Total Monthly Expenses
$
0.00
Difference Between Income & Expenses
$
0.00

Franchise Investment Funding

Corporate Cleaning Group's Estimated Initial Investment Range is $94,740 to $140,700.

Please share your sources of funds for the initial investment:

Savings | Checking Amount *
Bank Loan Amount *
SBA Loan Amount *
ROBS Funding Amount *
Other Funding Explanation *
Other Funding Amount
Total Investment
$
0.00

I / We do hereby represent that all of the above answers are true and complete to the best of my/our knowledge and belief. I / We recognize that this is not in any way an obligation to offer a franchise to me/us because of my/our execution of this document. I / We acknowledge that any false statement on this application shall be considered sufficient cause to deny further consideration. I / We understand that an inquiry regarding my/our character, general reputation, personal characteristics, mode of living and financial background may be made as a result of this application and hereby authorize the release of this information. A photographic copy of this authorization shall be as valid as the original.

Please Sign Full Name *
Signing Date *
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