New Jersey Coffees & Smoothies

Franchise Application

Click to Print This Page

FRANCHISE APPLICANT	First				M.I.	Last			Date of Birth
FRANCHISE SPOUSE	First				M.I.	Last			Date of Birth
PRESENT ADDRESS	Years	Street Address				City		State	Zip
	Telephone ( )		Alt. Telephone ( )			Best Time to Call	Email
Have you ever been in business for your self?				__ Yes __ No		If Yes, Please Explain:
Has your spouse ever been self-employed?				__ Yes __ No		If Yes, Please Explain:
Do you have children?				__ Yes __ No		Names/Ages:
Interests/Organizations:
How did you hear about us?

BUSINESS EXPERIENCE / EMPLOYMENT HISTORY

Franchise Applicant

Applicant’s Spouse

Employer’s Name

Telephone ( )

Employer’s Name

Telephone ( )

Street Address

Street Address

City

State

Zip

City

State

Zip

Job Title

Job Title

Duties

Duties

Supervisor’s Name

May we contact? __ Yes __ No

Supervisor’s Name

May we contact? __ Yes __ No

Date of Employment

From:

To:

Salary

Date of Employment

From:

To:

Salary

Reason for Leaving

Reason for Leaving

Highest Level of Education (circle) H.S Bachelors Master PhD

Degree:

Highest Level of Education (circle) H.S Bachelors Master PhD

Degree:

Will other investors participate in this franchise?

__ Yes __ No

If Yes, list name and extent of participation:

How would you be involved in the business?

__ Full-Time __ Part-Time

Are you interested in multiple units?

__ Yes __ No

What income do you expect from your business?

First Year:

Second Year:

How long have you been looking for a business/franchise?

Why are you looking into a franchise now?

What is your timeframe for finding the right business?

__ Now __ 3 Months __ 6 Months __ 1 Year or Longer

Preferred Areas

1)

2)

3)

Are you looking to relocate?

__ Yes __ No

If Yes, where and when?

Rate your interest in Maui Wowi on a scale of one (1) to ten (10)

Least Interested

1 2 3 4 5 6 7 8 9 10 Highly Interested

Rate your marketing skills on a scale of 1 to 10

Poor

1 2 3 4 5 6 7 8 9 10 Excellent

Rate your management skills on a scale of 1 to 10

Poor

1 2 3 4 5 6 7 8 9 10 Excellent

Rate the importance of status in the selection of a business on a scale of 1 to 10

Not Important 1 2 3 4 5 6 7 8 9 10 Very Important

What aspects of business ownership do you find attractive?

What skills/experience do you feel will help you excel as a business owner?

What are your strengths and weaknesses related to managing a business?

What are the most important things to you when considering a business?

FINANCIAL INFORMATION

ASSETS		LIABILITIES
Cash in checking account	$	Notes Payable			$
Cash in savings account	$	Home Mortgage			$
Stocks/Bonds/Securities	$	Other Real Estate			$
Retirement Plan/IRA/401k	$	Auto Loan			$
Home (market value)	$	Credit Cards			$
Other Real Estate	$	Charge Accounts			$
Autos (market value)	$	Taxes Payable			$
Life Insurance (cash value)	$	Other Liabilities			$
Your own business	$				$
Money due to you	$				$
Other Assets (itemize)	$				$
TOTAL ASSETS	$	TOTAL LIABILITIES			$
Total Assets minus Total Liabilities Equal Net Worth		$
Source of Monthly Income		Monthly Expenses
Salary	$	Rent or Mortgage			$
Bonuses or Commission	$	Food and Utilities			$
Dividends and Interest	$	Incidentals			$
Real Estate Income	$	Auto Loan(s)			$
Other (itemize)	$	Medical
	$	CHARGE ACCOUNTS	Company Name	Balance	Payment