Regional Developer Franchisee Application

Personal details

First name:

Last name:

Email:

Mobile:

Address:

Address2:

City:

Post code:

Country:

Best time to contact:

Date of birth:

yyyy-mm-dd

Education:

Please enter the highest level attained

Citizenship:

What country do you hold citizenship in?

Marital status:

Married / Single

Number of children:

Current employment

Current company:

Location:

Job title:

Salary:

Phone:

Past employment

Company:

Job description:

Salary:

Company:

Job description:

Salary:

Company:

Job description:

Salary:

Character reference

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

Finance

Do you currently have financing available?

If No, where do you anticipate receiving your financing from?:

Will you have a partner(s) or other investors?

Please provide a detailed resume of all operating partners:

Have you ever been insolvent?

Do you have a criminal record?

General information

How did you become interested in Zumo?:

Please explain:

1st territory preference:

Please give area name and details on population and population density per km2

2nd territory preference:

Please give area name and details on population and population density per km2

Have you ever been a Franchisee?

If yes, give details of the company:

Have you ever been a Master Franchisor?

If yes, give details of the company:

Have you ever operated a retail or food outlet?

If yes, single or multiple units?:

What credentials do you possess that would qualify you to be a Master Franchisee for Zumo International?:

Why do you feel you would be successful in operating a Zumo Franchise?:

When would you be ready to begin the Franchise application process?:

What is you timeframe for committing to the signing of a franchise agreement?:

Additional information: