Pacific Lawn Sprinklers Franchise > Franchise Qualification Form

Secured Qualification Form

Fill In The Below Form

Personal Information:
Contact Name: *
Email: *
Cell Number: *
Address: *
City: *
State: *
Zip: *
Citizenship Status:
If other, what:
Any Felony Convictions?: *
Employment Information:
Present Employer:
Title:
Responsibilities:
Length of Employment:
Annual Salary:
Any other source of income? :
Total Combined Income :
Will you be leaving this employment to open your business? :
Past Employer:
Title:
Responsibilities:
Location:
Start Date:
End Date:
Past Employer:
Title:
Responsibilities:
Location:
Start Date:
End Date:
Past Employer:
Title:
Responsibilities:
Location:
Start Date:
End Date:
Franchise Interest:
Have you ever owned your own business?:
What type of business?:
How long operated?:
Do you have any Business Experience in the Green Industry? :
If yes, WHAT?:
How did you become interested in this business?: *
Have you ever managed employees?:
If so, at what capacity?:
When would you like open?: *
Whats your primary reason(s) for going into your own business?: *
What would you consider your strengths in owning your own business?: *
What would you consider your primary concerns in owning your own business?: *
In which geographical area would you like to open your business?: *
Will you be opening this business with a partner?:
If so, will this partner be active?:
What languages do you speak?:
Financial Information:
Cash on Hand & In Banks:
Stocks, Bonds & Securities:
Retirement Funds:
Do You Own or Rent Your Home?:
Businesses Owned:
Any other assets?:
Notes payable to bank?:
Notes payable to individuals?:
Total credit card debt?:
Vehicle Loans:
Home Mortgage:
Other Mortgages:
Student Loans:
Any other debts?:
Amount of Capital to Invest: *
Source of Capital: *