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"Our goal is for our caregivers to be a welcome sight at your doorstep"
Franchise Opportunities

This Request for Consideration is designed to elicit or confirm certain information required by the Franchisor in connection with your request for consideration. Please respond to all questions, even if the appropriate response is "none" or "not applicable". If you have any questions concerning any matter covered by this application, please contact the Franchisor before submitting the application.

Personal Information
 
Last Name   First Name      Initial
Home Address
City   State      Zip Code   
 
Home Phone Business Phone
Cell Phone Fax
Email
 
Date of Birth Marital Status
Spouse's Name Spouse's DOB
Names and
Ages of
Children
 
How did you become aware of CareMinders® Home Care?
 
Magazine Please Specify
Referral Name
Newspaper Pleae Specify
Website Site Address
Store Visit Store Name
Other Please Describe
 
Educational Record
 
Please List the names of the schools
and/or colleges you have attended
What is the highest level of education
you completed
 
Recent Work History
 
Name of Company
Company Address
Position Years Employed
Reason For Leaving
 
Name of Company
Company Address
Position Years Employed
Reason For Leaving
 
Business & Management Goals
 
Do you plan to operate
the business yourself?
If not, who will manage the store?
Do you plan to have
equity partners?
If yes, identify all partners
and send applications for each.
Planned date to
open first Store		 Location Preference
Other comments
or explanations
 
Areas of Expertise
 
Finance Sales
Business Development Personnel or People Management
Other   
 
Other Information
 
Annual Income in
Present Occupation
Other Income Per Year Source of Other Income
Would this business
be your sole source
of income?
Do you have a financing source?
Amount available
from financing source
Cash available for investment
 
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