PERSONALIZED MANAGEMENT ASSOCIATES

FRANCHISE APPLICATION

       

BASIC INFORMATI0N

First Name
Last Name
Date
Address
City, State, Zip Code
Home Telephone
Work Telephone
Cellular Telephone
E-Mail Address
Best Way To Contact
Soc. Sec. #:
Date of Birth:
Spouse's Name:
Spouse's Date of Birth:
Dependents and Ages
Any Other Names For You
Previous Residence:
Dates At This Address:
Are You a Citizen of the USA?



 
If not, what country?
Ever Convicted of a Crime?



 
If Yes, Please State The Details

EDUCATION AND REFERENCES

High School
Date Graduated
College Attended
Date Graduated
Graduate School & Dates
BUSINESS REFERENCES - Please List People You Have Either Worked with Or For
Reference #1
Address, City, State, Zip
Telephone
Relationship or Title
Years Known
Reference #2
Address, City, State, Zip
Telephone
Relationship or Title
Years Known
Reference #3
Address, City, State, Zip
Telephone
Relationship or Title
Years Known

BUSINESS EXPERIENCE

Most Current Company
City, State
Dates of Employment
Annual Salary
Type of Business
Major Accomplishments
Company #2
City State
Dates of Employment
Annual Salary
Type of Business
Major Accomplishments
Company #3
City, State
Dates of Employment
Annual Salary
Type of Business
Major Accomplishments
US Military Service Branch & Rank
Dates of Service

PERSONAL ASSETS

Cash On Hand & In Banks
Total Stocks, Bonds, Any Funds
Account/Notes Receivable
Total Real Estate Investments
Net Value of Any Businesses
Life Insurance Cash Value
Other Assets And Amounts:
Residence
TOTAL ASSETS:
Estimated Monthly Expenses:
Minimum Income Needed First Year:
CAPITAL AVAILABLE TO INVEST

PERSONAL LIABILITIES

Mortgages And Amounts Due On Each
Other Loans or Notes And Amounts Due On Each
Any Taxes Due
Credit Card Amounts Due
Auto Loan Amounts Owed
Other Liabilities And Amounts Due On Each:
TOTAL LIABILITIES:
TOTAL ASSETS:
TOTAL NET WORTH (Assets Minus Liabilities)
Additional Source of Income And Amounts Per Source:
Will You Devote FT to This Business?
If No, Please Explain
Ever Failed in Business?
If Yes, Please Explain
Ever Compromised With Creditors?
If Yes, Please Explain

GENERAL QUESTIONS AND INFORMATION

Will You Be The Sole Owner?
If No, Please Explain
Where Do You Want Your Franchise?
Other Locations You Would Consider?
When Do You Want to begin Training?
What is Your Decision Time Period?
What Attracts You to a PMA Franchise?
Why Would You Be Successful?
Reference, Credit and Background Check Information:
I Hereby Authorize By Typing My Name Here