Franchise Application

This franchise application for ComForCare will help you in preparing and presenting your personal information for confidential use by ComForCare to determine your qualifications as a franchise owner. Please complete it with as much detail as possible. The completion of this form places no obligation on either party. Please have each person signing fill out a separate application.

* Indicates required questions
Name *
First
Last
Phone # *
Email *
Address *
City *
State *
Zip/Postal Code *
-
Country *
Are you a US Citizen? *
Yes No
Do you have access to the funds needed to open a ComForCare franchise? *
Yes No
Are you a defendant in any lawsuits or legal action? *
Yes No
Are you a veteran? *
Yes No
Have you ever filed bankruptcy or are you in process of filing bankruptcy? *
Yes No
Have you ever been convicted of a felony or misdemeanor (other than traffic violations)? *
Yes No
License Number or State ID *
Drivers License State *
Birthdate *
/ /
Savings Account Balance *
Home Value *
Value of Stocks, Bonds, 401k or Investments *
Value of Other Assets, Property or Investments *
Total Value of Assets *
Current Salary / or Fees *
Dividends, Interest or Real Estate Income *
Other Income *
Total Income *
Balance Due on Auto Loans *
Balance Due on Mortgage *
Balance Due on Other Loans or Debts *
Total Liabilities *
Your Estimated Net Worth (Total Assets plus Income minus total liabilities) *
Do You Have a Spouse or Partner That Will Be Actively Involved in the Franchise? *
Yes
No
What is Your Spouse or Partners Name? *
Do You Plan on Financing Any Portion of Your Franchise? *
Yes
No
What Method of Financing Are You Considering? *
Rate Your Overall Computer Skills, 5 being the highest *
Rate Your Overall Networking and Sales Skills, 5 being the highest *
Rate Your Organizational Skills, 5 being the highest *