Application for Ownership

Instructions - Please Read:

This questionnaire asks for certain confidential information as a means for us to perform initial due diligence to determine whether the Environment Control franchise program may be beneficial for you. There is no single question in this questionnaire that would disqualify you from owning an Environment Control franchise. We are trying to assist your own analysis in making the right decision for your future, so please answer each question truthfully and completely. Each individual who anticipates holding an equity position in the franchise should fill out a separate application. Since all Environment Control franchises are independently owned and operated, it benefits every applicant (as early in the process as possible) to analyze their suitability for ownership of an Environment Control franchise. We will maintain all of this information as confidential and will not disclose it or use it in any manner other than to facilitate our analysis of you as a potential Environment Control franchise owner. If you attach a current résumé, you need not duplicate that information on this questionnaire. Once we have received and reviewed this information, one of our representatives will contact you for a follow-up interview.

General Information

Present Address

Land Phone

Mobile Phone *

Email Address *

How long at this address?

YES NO
YES NO

Referred by: (A referring party is any person not acting as an agent of Environment Control.)

YES NO

Educational Background

High School

YES   NO   GED


College/University

mm/dd/yyyy

mm/dd/yyyy

Degree Earned:


Graduate School

mm/dd/yyyy

mm/dd/yyyy

Degree Earned:


Technical, Business, or Vocational School

School (1):

mm/dd/yyyy

mm/dd/yyyy

Degree Earned:

School (2):

mm/dd/yyyy

mm/dd/yyyy

Degree Earned:

Employee Work Experience

List work experience as an employee, beginning with your current employer (if applicable):

1. Employer

mm/dd/yyyy

mm/dd/yyyy

 

2. Employer

mm/dd/yyyy

mm/dd/yyyy

 

3. Employer

mm/dd/yyyy

mm/dd/yyyy

Self-employed Work Experience

List work experience as an equity owner, beginning with your most recent experience:

1. Company

mm/dd/yyyy

mm/dd/yyyy

 

2. Company

mm/dd/yyyy

mm/dd/yyyy

Military and Volunteer Work Experience

Military Service

mm/dd/yyyy

mm/dd/yyyy

YES NO


 

Volunteer/Community Service

mm/dd/yyyy

mm/dd/yyyy

Personal Evaluation

It should be no surprise that the extent of your success as an Environment Control owner is dependent on your personal efforts and ability. Only you can decide if your personality and skill sets are compatible with the Environment Control franchise opportunity. Please consider the following list of qualities that have proven to be valuable to those who have chosen Environment Control as a career. Please rate yourself by placing a number on the chart below that best reflects your personal evaluation (1 being the lowest to 10 being the highest):

Teachable and Value Instructions *
Self-Confidence *
Positive Attitude *
Drive/Self-Starter *
Proven Leader of People *
Take Charge/See Things Through *
Good Organizer of Time, Priorities, and Energies *
Decisive/Willing to Take Action *
Good Communication Skills (Written and Verbal) *
Sales Ability *
Willing to Work Long Hours for Long-Range Goals *
Family Support for Owning Your Own Business *

Personal and Career Goals

What are your financial goals for the next three (3) years as a franchise owner?

A. Gross Income Year #1 *

B. Gross Income Year #2 *

C. Gross Income Year #3 *

Describe the most significant obstacle you face in:

Franchise Programs

Local (Population 100,000 – 200,000)
Community (Population 200,000 – 400,000)
Metropolitan (Population 400,000 – 600,000)

In what geographic location do you want to locate your franchise facility? If two locations are of interest, please list them below in order of preference. If your location is in a suburb of a larger metropolitan area, please specify the general area: *

Financial Information

What is your current estimated net worth? *


$0-$50,000   $50,000-$150,000   $150,000-$250,000   Over $250,000

What is your current net monthly income need? *

What percentage of ownership do you desire? *

What portion of your investment will you need to borrow? *


YES   NO

Date that bankruptcy became final (from the court):

mm/dd/yyyy

Physical Condition


YES   NO

Other Comments/Considerations

Upload Your Résumé

Résumé files must not exceed 2MB in file size. Accepted file formats are: .doc, .docx, .pdf.

Upload résumé

I CERTIFY THAT THE ABOVE ANSWERS ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT THIS APPLICATION IS NOT INTENDED TO BE ANY KIND OF CONTRACT OR AGREEMENT.

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