Environment Control | Application for Ownership

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.

First Name ^*

Middle Name

Last Name ^*

Present Address

Street ^*

City ^*

State ^*

Zip Code ^*

Land Phone

Mobile Phone ^*

Email Address ^*

How long at this address?

Do you own your own home?

YES NO

Are you a U.S. Citizen? ^*

YES NO

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

Are you acquainted or related to anyone at Environment Control?

YES NO

If yes, please list their name, position, and location:

High School

Last Grade Completed

Graduate?

YES NO GED

College/University

mm/dd/yyyy

Degree Earned:

Graduate School

mm/dd/yyyy

Degree Earned:

Technical, Business, or Vocational School

School (1):

mm/dd/yyyy

Degree Earned:

School (2):

mm/dd/yyyy

Degree Earned:

List All Degrees or Certifications

Check here if not applicable.

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

1. Employer

mm/dd/yyyy

Company Name

Name of Supervisor

Job Title and Duties

Accomplishments

Reason for Leaving

2. Employer

mm/dd/yyyy

Company Name

Name of Supervisor

Job Title and Duties

Accomplishments

Reason for Leaving

3. Employer

mm/dd/yyyy

Company Name

Name of Supervisor

Job Title and Duties

Accomplishments

Reason for Leaving

Check here if not applicable.

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

1. Company

mm/dd/yyyy

Job Title and Duties

Accomplishments

Reason for Terminating Ownership

2. Company

mm/dd/yyyy

Job Title and Duties

Accomplishments

Reason for Terminating Ownership

Check here if not applicable.

Military Service

mm/dd/yyyy

In what branch of the military did you serve?

Did you receive an honorable discharge?

YES NO

If no, please explain briefly the circumstances of your discharge:

Check here if not applicable.

Volunteer/Community Service

mm/dd/yyyy

If yes, please describe the nature of your voluntary service

Further Comments

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 ^*

Further Comments Regarding Personal Evaluation

Please list the primary reason(s) why owning an Environment Control franchise is a serious consideration for you: ^*

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 ^*

Outline the most ideal timeline for becoming involved with Environment Control: ^*

Describe the most significant obstacle you face in:

A. Purchasing an Environment Control franchise: ^*

B. Operating an Environment Control franchise: ^*

Why do you believe the Environment Control franchise program represents your best career option? ^*

Which franchise program best meets your needs? ^*

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: ^*

What is your current estimated net worth? ^*

Amount available for investment: ^*
$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? ^*

Source(s) and Terms:

Have you ever declared bankruptcy (personal or business)? ^*
YES NO

If yes, please explain briefly the circumstances and resolution of this proceeding:

Date that bankruptcy became final (from the court):

mm/dd/yyyy

Do you have any physical impairment(s), including prior or present Workers’ Compensation injuries that could interfere in any way with your ability to perform the physical duties of an Environment Control owner? ^*
YES NO

If yes, please explain:

Check here if NONE.

Please share anything else that you believe we should know, or that you would like to discuss with us during our follow-up interview:

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

Upload résumé
Please upload your résumé:

BY SELECTING THIS BOX, YOU AGREE TO THE FOLLOWING STATEMENT:
I HEREBY AUTHORIZE ENVIRONMENT CONTROL AND ITS DESIGNATED AGENT (GLOBAL BACKGROUNDS) TO CONDUCT A COMPREHENSIVE REVIEW OF MY BACKGROUND, CAUSING A CONSUMER REPORT AND/OR AN INVESTIGATIVE CONSUMER REPORT TO BE GENERATED FOR EMPLOYMENT AND/OR FRANCHISING PURPOSES. I UNDERSTAND THAT BY SELECTING THIS BOX, THE LINK PROVIDED WILL REDIRECT ME TO A THIRD-PARTY SITE, WHERE I WILL NEED TO ENTER THE PASSWORD GIVEN BELOW TO ACCESS THE GLOBAL BACKGROUND AUTHORIZATION. PASSWORD: (If the box above is checked, the password will show)

CLICK ON THE FOLLOWING LINK TO COMPLETE THE BACKGROUND CHECK:
https://www.globalbackgrounds.com/environmentcontrol

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.

SIGNATURE ^*

DATE SIGNED ^*

mm/dd/yyyy

Application for Ownership

Instructions - Please Read:

Present Address

Land Phone

Mobile Phone *

Email Address *

How long at this address?

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

High School

College/University

Graduate School

Technical, Business, or Vocational School

School (1):

School (2):

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

1. Employer

2. Employer

3. Employer

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

1. Company

2. Company

Military Service

Volunteer/Community Service

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:

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: *

What is your current estimated net worth? *

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? *

Date that bankruptcy became final (from the court):

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.

Mobile Phone ^*

Email Address ^*

A. Gross Income Year #1 ^*

B. Gross Income Year #2 ^*

C. Gross Income Year #3 ^*

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: ^*

What is your current estimated net worth? ^*

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? ^*