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Apply for a Franchise!
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Apply for a Franchise!
Please take a moment to provide the following information. It is important that the information you provide is as accurate as possible to help us in determining the best approach.
Personal Information
Name
*
First
Last
Your Email
*
Mobile Phone
*
Home Phone Number
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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India
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Isle of Man
Israel
Italy
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Kenya
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Korea, Republic of
Kuwait
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Mayotte
Mexico
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New Caledonia
New Zealand
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Nigeria
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North Macedonia
Northern Mariana Islands
Norway
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Panama
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Poland
Portugal
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Romania
Russian Federation
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Saint Helena, Ascension and Tristan da Cunha
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Sweden
Switzerland
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Taiwan
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Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
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Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Citizenship
*
Date of Birth
*
MM slash DD slash YYYY
Marital Status
*
Select...
Married
Single
Other
Number of Dependents
*
Spouse / Partner's Name
Spouse / Partner's Occupation
Languages Spoken
*
Location Preferences
What location(s) would you like for a Driverseat franchise (list separated by commas)?
*
If this location was not available, what is your second choice?
*
Business Matters
How did you become interested in owning a Driverseat franchise?
*
Have you owned or had partial ownership in a business?
*
Select...
Yes
No
Please provide details.
*
Have you been involved in any litigation, arbitration or mediation with respect to your previous business history?
*
Select...
Yes
No
Please provide details.
*
What percentage of your Driverseat franchise do you anticipate owning?
*
Select...
100%
> 50%
< 50%
Please name the other investors and their percentage ownership.
*
Who will be responsible for running the business on a daily basis?
*
Business or Work History
Current employer / business
*
Position
*
Year you started your current position
*
Last job / business prior to your current position
*
Position
*
Year started
*
Year ended
Last job / business before that
*
Position
*
Year started
*
Year ended
Education
Highschool completed
*
Select...
Yes
No
Post secondary diploma / degree completed
*
Select...
Yes
No
Do you have any fines / convictions on your license in the last three years?
*
Select...
Yes
No
Do you have any charges or convictions that will appear on your criminal record?
*
Select...
Yes
No
Other education
References
Please provide one personal and two business / professional references.
Reference 1 Full Name
*
Email
*
Mobile Phone
*
What is your relationship?
Reference 2 Full Name
*
Email
*
Mobile Phone
*
What is your relationship?
Reference 3 Full Name
*
Email
*
Mobile Phone
*
What is your relationship?
Personal Financial Statements
Available Capital
*
Select...
$0 - $10,000
$10,001 - $50,000
$50,001 - $100,000
> $100,000
Your investment timeline
*
Select...
0 - 3 months
3 - 6 months
6 - 12 months
> 12 months
Registered savings (Canada)/ 401(k) (USA)
*
Value of residence
*
Value of vehicles
*
Value of existing business(s)
*
Other savings
*
Other real estate
*
Other private investments
*
Other assets
*
Total assets
*
Mortgage
*
Vehicle loans
*
Business loans
*
Other debt
*
Total liabilities
*
Total net worth (Assets - Liabilities)
*
Other comments?
Consent
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