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Franchise Application Form

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This information on this form is the basis for a franchise application and will be kept confidential. This form is not to be construed as an offer of a franchise, a commitment or a binding agreement on either party.

1. PERSONAL DATA

Please complete the entire application form in order to be considered.

Date of Application Date of Birth
First Name Surname
ID (Social Insurance Number) Passport Number
Unit & street address
City Province / State
P.O.Box Zip Code
Home Phone Best Numer to contact you
Work Phone Fax (if any)
Cell Phone Email
Do you rent or own your home How many years at this location
Marital status Will your spouse be active in business?
Spouse/partner's name Spouse/partner's occupation

2. PERSONAL HISTORY

Please complete the entire application form in order to be considered.

What is your citizenship?    
Permanent Residence    
Immigration Residence (if any)    
Have you ever owned a business? If 'Yes' provide details
Have you ever been adjudicated bankrupt If 'Yes' provide details
Are you currently a party to any pending legal action? If 'Yes' provide details

3. EMPLOYMENT HISTORY

Start with most recent employment and work backwards.

Company Name Type of Business
Start Date End Date
Position Annual Salary (US$)
Company Address Duties/Responsibilities
Supervisor Name Supervisor Phone

Company Name Type of Business
Start Date End Date
Position Annual Salary (US$)
Company Address Duties/Responsibilities
Supervisor Name Supervisor Phone

Company Name Type of Business
Start Date End Date
Position Annual Salary (US$)
Company Address Duties/Responsibilities
Supervisor Name Supervisor Phone
       
May we contact your past employers?    

4. EDUCATION HISTORY

Please state the last year of education you completed.

High School College / University
Degree or Diploma Completed    
Training in Sales, Management or Retail    
Any Other Training    

5. APPLICANT PROFILE

What appeals to you about franchising?
How would you describe the roles of the Franchisor and the Franchisee?
How did you become interested in a Freshi Ice Sticks franchise—and why?
Did you ever visit a Freshi Ice Sticks branch? Which one? What inspired you there?
Have you ever owned or had an interest in any other operation within the food service industry?
Who would be responsible for the franchise's day-to-day operation?
In your opinion, what are the characteristics of a good business?
If you were awarded a franchise, what would you do to make the business successful?
What are your goals/objectives for the next 5 years?
How many hours do you typically work per week?
How many hours would you like to work per week?
Do you have experience in the franchising sector?
Do you have experience in the Ice cream sector?
Do you have experience in Food sector?
Do you have experience in Restaurant sector?
Do you imagine this as your main activity?
Do you have your own financial resources
above 300, 000 US$ ?
Upto when would you like to operate?
Any notes?

6. REFERENCES

Please don't include relatives

Name and Relationship City, Province/State Phone

7. BUSINESS INFORMATION

Note: Separate applications are required for each partner.

What percentage of the equity of the restaurant will you own? %  
Will you have a business partner or partners?  
If Yes, your business partner(s):    
1st Partner Name
2nd Partner Name
3rd Partner Name
What other business(es) do you have an interest in?  
How do you plan to finance this business venture?  
If Loan, what collateral will you make available?  
If quailfied, when would you be ready to invest in your franchise?  
Will you require assistance in obtaining financing?  

8. LOCATION PREFERENCE

First choice
Second choice
Other choice
Would you be willing to relocate? If Yes, Where?

9. FINANCIAL STATEMENT

This is mandatory information. All values required in US $

Personal financial information as of today (Enter Date)    
ASSETS LIABILITIES
Cash on hand Notes payable
Securities (stocks, bonds, RRSPs, IRAs) Loans against insurance
Accounts and loans (receivables) Loans
Home (market value) Mortgages (balance owing)
Other real estate Credit cards
Automobiles (market value) Other liabilities
Other assets (market value)    
Total assets: Total liabilities:

Net worth (total assets - total liabilities) =    

THE UNDERSIGNED APPLICANT (“APPLICANT”) CERTIFIES THAT THE INFORMATION IN THIS APPLICATION IS TRUE AND ACCURATE, AND UNDERSTANDS THAT THE INFORMATION PROVIDED WILL BE RELIED UPON BY FRESHI ICE STICKS FRANCHISING. (“FRESHI ICE STICKS”).

Applicant agrees to promptly notify FRESHI ICE STICKS of any material changes to the information provided. Applicant understands that the granting of a franchise is at the sole discretion of FRESHI ICE STICKS and that acceptance of this application is not a granting of a franchise. Franchises are granted only by execution of a written Franchise Agreement.
Applicant understands that any information received from FRESHI ICE STICKS, or from any employee, agent, or franchisee of FRESHI ICE STICKS, is highly confidential (“Confidential Information”), has been developed with a great deal of effort and expense to FRESHI ICE STICKS, and is being made available to Applicant solely because of this application. Applicant agrees to treat and maintain all Confidential Information as confidential, and shall not, at any time, without the express written consent of FRESHI ICE STICKS, disclose, publish, or divulge any Confidential Information to any person, firm, corporation or entity, or use any Confidential Information, directly, for Applicant’s own benefit or the benefit of any person, firm, corporation or other entity, other than for the benefit of FRESHI ICE STICKS.


Applicant authorizes the release of any information deemed necessary by FRESHI ICE STICKS to verify any and all of the information contained in this application. This authorization for release of information includes but is not limited to matters of opinion relating to Applicant’s background, mode of living, credit worthiness, character, ability, reputation and past performance. Applicant authorizes all persons, schools, companies, corporation, credit bureaus, and law enforcement agencies to release such information without restriction or qualification to investigatory parties selected by FRESHI ICE STICKS, any of its officers, agents, employees and servants. Applicant voluntarily waives all recourse and releases them from liability for complying with this authorization. This authorization and release shall apply to this as well as any future information request. Applicant authorizes that a photocopy or facsimile of this authorization and release be considered as valid as the original.

Applicant’s Name:
Applicant’s Signature: :

(if you apply online just type your name)

Date: