Application - Reading Readiness Centers

READING READINESS FRANCHISES

( APPLICATION FORM )

DISCLAIMER

Reading Readiness Franchises are available to qualified prospective franchisees only in certain states. Reading Readiness Franchise will not offer or sell a franchise unless registered (or exempt) in the state where the prospective buyer resides or where the franchise will be located. These materials are not an offer to sell. or a solicitation of an offer to buy a Reading Readiness Franchise. An offer to sell a Reading Readiness Franchise is made by Franchise Disclosure Document Only.

PERSONAL INFORMATION

First name

Last name

Mobile phone

Street address

Marital status

Married Single

Age

Number of children

How many years at this address

Spouse first name

Spouse last name

Spouse social security number

Spouse email

Spouse mobile phone

Describe any training in sales / retail management or other areas

How did you become interested in reading readiness program

BUSINESS EXPERIENCE

Present occupation

Position

Date employed

Employer name

Address

Describe duties / number of employees managed and responsibilities

PRIOR BUSINESS EXPERIENCE

FIRST EMPLOYER DETAILS

First name

Last name

Period employed in years

Position

Salary in U.S dollars

SECOND EMPLOYER DETAILS

First name

Last name

Period employed in years

Position

Salary in U.S dollars

PROFESSIONAL REFERENCES

REFERENCE ONE DETAILS

First name

Last name

Company

Phone

REFERENCE TWO DETAILS

First name

Last name

Company

Phone

PERSONAL REFERENCES

REFERENCE ONE DETAILS

First name

Last name

Relationship

Phone

REFERENCE TWO DETAILS

First name

Last name

Relationship

Phone

BANK INFORMATION

ACCOUNT ONE DETAILS

First name

Last name

Account number

Highest credit extended

Address

ACCOUNT TWO DETAILS

First name

Last name

Account number

Highest credit extended

Address

Cash available for investment

Would you be willing to relocate?

Yes No

Please list the top geographical areas of interest

ANSWER THE FOLLOWING QUESTIONS

What particular skills/ training or experience do you have that will help elevate the reading readiness program brand in your community?

Please list the top five locations that you wish Reading Readiness Program corporate to secure on your behalf.

Does your family support this venture? Will any family members be involved in your decision to purchase a reading readiness program franchise?

On what date would you like to be presented to the franchise committee for selection?

What if any additional information might you require at this time before becoming a franchisee?

FINANCIAL INFORMATION

Your annual salary / wages in U.S dollars

Notes payable (banks / related items) in U.S dollars

Spouse’s annual salary / wages in U.S dollars

Mortgages in U.S dollars

Bonus / commission in U.S dollars

Other liabilities in U.S dollars

Real estate income in U.S dollars

Stocks and bonds (market value) in U.S dollars

Real estate (market value) in U.S dollars

Household furnishings in U.S dollars

Automobiles market value in U.S dollars

Other income/assets in U.S dollars

Total assets in U.S dollars

Total net worth in U.S dollars

Total liabilities in U.S dollars

Description