Preliminary Information Sheet

Directions: Thanks for your interest! Please fill out all sections of this sheet. The information requested herein is for initial evaluation of your qualifications as a franchisee and will be kept strictly confidential. Completion of this sheet is not an offer to purchase a franchise and does not obligate you in any way. Should you elect to purchase a franchise, you may be required to furnish additional information.

    Part 1. General Information


    Full Name:*


    Phone Numbers:

    Your Email:

    Preferred means of contact:

    Best Time To Contact You:

    Desired area for franchise:

    Second choice of location:

    Part II. Education

    Please list high school, college, graduate school, other education: years completed, degree(s)
    School(s) attended/degree/certification:

    Part III. Employment History

    Dates (From/To) / Company / Address / Position

    Part IV. Financial Information

    Income from current position:

    Additional sources of income (please explain):

    Approximate net worth:

    When would you consider investment in this franchise:

    Part V. References


    Name / Company




    Part VI. Other

    Have you ever owned or do you presently own a business? If so, please give details:

    Do we have your permission to undertake a standard background screening check, which we require of all potential franchisees?


    *I understand that the information provided is confidential and affirm that it is true to the best of my knowledge. I understand that providing this information does not obligate me to purchase a franchise, nor does it obligate the franchiser to offer a franchise to me.

    Call Senior Friends and Services today to find out how we can help you live the life you want. Tell us what you want, and we will make it happen.