Title MrMrsMsMissDr Forename(s) (required) Surname (required) Home address Postcode Contact telephone number Your Email (required) Have you been UK resident for more than 2 years? YesNo Current Position/Job Brief description of current position Full / Part time / Unemployed Full timePart timeUnemployed Your current income Please state when you would be able to take up the franchise if offered? 0 - 3 months3 - 6 months6 - 12 months12 + months Are you employed within this type of industry currently or have been within the last 2 years ? YesNo Have you previously run a business? YesNo Have you previously owned or worked in any franchised business? YesNo What interests you in a running a franchise business? How would you rate your ability in Accounts & Bookkeeping? Very goodGoodPoorVery Poor How would you rate your ability in Computer Competence? Very goodGoodPoorVery Poor Interests, hobbies and community activities Should it be agreed that you would be a suitable franchise owner, the total investment requirement is approximately £6000. Do you have the capability to fulfil this requirement? YesNo Would you require bank support in raising finance ? YesNo If yes , How much funding would you require ? Do you have a good credit history? YesNo If no, please explain below any previous credit problems.