* All fields are required, enter "N/A" if the item does not apply.
General Information
Financing
References
Business Information
1. Have you ever owned a franchise?
Rate your franchise experience (1-5, 5 being best):
1
2
3
4
5
Year:
2. Are you exploring other franchise opportunities?
If Yes, which ones?
3. Would you expect to devote full time to the business?
4. Do you have, or can you obtain, the necessary cash funds to invest in the business?
Please explain in detail:
5. Do you regard an ITEX franchise as:
6. Would you employ a full-time manager?
7. If selected, when would you be able to start this opportunity?
8. What marketplace are you interested in?
9. Have bankruptcy proceedings ever been instituted against you?
If yes, please explain:
10. Are you now, or have you ever been, party to any suits or civil actions?
If yes, please explain:
11. Have you ever been convicted of a crime other than minor traffic offenses?
General Questions
What income do you require to meet your current financial obligations?
What is the income you would like to be earning in three years time?
Where are the funds going to come from to meet the requirements of the estimated start up costs? Enter source and amounts:
Assuming you are awarded a franchise, when would you be available to start training?
Are there others you would like involved in the decision making process, i.e. spouse?
On the basis of your past work experience, what are your strengths?
And your weaknesses?
By submitting this form, I certify that the information contained in this Franchise Qualification Form is accurate and complete to the best of my knowledge. We may conduct investigations and make inquiries of any person or persons we, in our reasonable judgment, believe appropriate concerning the credit standing, character, and professional and personal qualifications of you and your owners, shareholders, members and partners. You authorize us to conduct these investigations and to make these inquiries. We agree to comply with the requirements of laws that apply to these investigations and inquiries. All information will be held in strict confidence. The completion of this form will not oblige ITEX Corporation or me in any manner.
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