Main Franchisee Application Not the main applicant of the group?Sign up with our Co-Application! Franchise Application If you are the Main Applicant, please fill out the form below. If you are a Co-applicant,please fill out a separate application form by clicking here. Please list your co-applicants, if any. First Name Address Last Name City Email State/ProvincePlease select... British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Phone Number Country Birthday ZIP / Postal Preferred Locations for your Franchise Preferred Location #1Please select... City of Toronto York Region Durham Region Peel Region Halton Region East of GTA West of GTA Ontario - Other Burnaby Coquitlam Langley New Westminster North Vancouver Richmond Downtown Vancouver British Columbia - Other Preferred Location #2Please select... City of Toronto York Region Durham Region Peel Region Halton Region East of GTA West of GTA Ontario - Other Burnaby Coquitlam Langley New Westminster North Vancouver Richmond Downtown Vancouver British Columbia - Other Preferred Location #3Please select... City of Toronto York Region Durham Region Peel Region Halton Region East of GTA West of GTA Ontario - Other Burnaby Coquitlam Langley New Westminster North Vancouver Richmond Downtown Vancouver British Columbia - Other Preferred Location if other enter any areas not listed above and/or specific details of an area such as a landmark or intersection Present Employer Percent of Company you own Nature of Business Title Company address Name of Supervisor Supervisor Title Start Date End Date Hours per weekPlease select... 0-20 21-30 31-40 41-50 51-60 Above 60 Brief description of your responsibilities Previous Employer Percent of Company you own Nature of Business Title Company address Name of Supervisor Supervisor Title Start Date End Date Hours per weekPlease select... 0-20 21-30 31-40 41-50 51-60 Above 60 Brief description of your responsibilities Any other relevant Employment? Company, title, responsibilities in a description box Finance How will you finance your franchise? What is your proposed ownership structure? Applicant [%] Co-applicant #1 [%] Co-applicant #2 [%] Co-applicant #3 [%] Income from present occupation per year Other income per year If other income, please explain: Assets Cash on Hand Securities Market Value of Home Personal Property Other Real Estate Total Assets Do you have full or part ownership of another business? If yes, please provide the names of these businesses, nature of the business, and your income from business interests. Liabilities Mortgages - Home Mortgages - Other Loans Payable Credit Cards Line of Credit Other Liabilities Total Liabilities Total Net Worth Other Important Information Overview of Interest: Why do you want to own a Chatime? Timeline: When do you want to own a Chatime? Relevant Experience: Do you have any previous food & beverage, retail, and/or entrepreneurial experience? If yes, please describe. Ownership and Management Structure: Who will be the full-time manager of the store? Other: Is there any other information you would like us to know about you and/or your group? Enter your full legal name to consent to a Financial Background Check. Contact Information
