Best Time to Call:
Date of Birth:
Drivers License No.:
Number of Dependents:
How did you become aware of this opportunity?
(Please list company name, type of business, dates and positions held, most significant accomplishments.)
Present/Most Recent Position:
Do you have specific direct sales/marketing experience? (please explain)
PLEASE PASTE A COPY OF RESUME
BUSINESS AND MANAGEMENT GOALS
Business Affiliations (Officer, Director, Partner, etc):
Do you plan to devote full-time to this business?
Will your spouse be active in the franchise?
Do you plan to have equity partners?
What are your desired income goals? (1 year / 3 years):
How many hours do you plan to devote towards the business per week?
How much income do you require to maintain your standard of living?
PLEASE LIST ALL POTENTIAL PARTNERS FOR THIS BUSINESS VENTURE:
(Include a separate Request Form for each partner identified below.)
Name Address Telephone Active in Franchising
1 st Choice
2 nd Choice
3 rd Choice
Units Planned: Year l-2:
Planned date to open First Unit
PRELIMINARY FINANCIAL DISCLOSURE
Unencumbered Liquid Assets Available:
How do you plan to fund the estimated start up cost of the Initial Unit?
Why do you believe you can successfully operate a STEAK-OUT Franchise?
How will the STEAK-OUT franchise opportunity help you achieve personal and business goals?
What do you see as the benefits of being awarded a franchise license (verses a non-franchise type of business)?
If you found the right opportunity, could you make a decision to go forward in 30, 60 or 90 days?
Additional information or comments that should be taken into consideration when evaluating your Request for Consideration:
I authorize you to make investigations of my credit character and ability, and to contact anybody, whether or not listed,
including former employers, in order to obtain personal information about me. I release all such persons from any liability
or damages that may be incurred as a result of furnishing such information. I also certify that all information in this
application is true and complete.