eMaids Franchise Evaluation

eMaids rspects the privacy of your information. We will use the information you provide to evaluate your business qualifications as a eMaids franchise. Please Fill in the following information as completely as possible.

PRIVACY POLICY
All information provided is kept confidential and will not be disclosed except for purposes of verification.

Please answer all questions, please write clearly.

Personal Information

LAST NAME

FIRST NAME

MIDDLE NAME

DATE OF APPLICATION

BIRTHDATE

AGE

TELEPHONE NUMBER

CURRENT ADDRESS

CITY

STATE

ZIP

HOW LONG?

FULL NAME OF SPOUSE

OCCUPATION OF SPOUSE

Any Criminal Record?

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Applicant’s Business Plans

WILL THE BUSINESS BE OWNED AND OPERATED BY YOURSELF OR A GROUP?

What is it about the Cleaning Services Market that Appeals to You?

AMOUNT OF CAPITAL AVAILABLE FOR THIS BUSINESS

TERRITORY FOR WHICH APPLICATION MADE

CREDIT SCORE

WHAT OTHER AREA(S) WOULD YOU CONSIDER?

Education

Please list all education you have received including High School, College or Special Training

NAME OF SCHOOL (1)

ATTENDANCE FROM

ATTENDANCE TO

MAJOR AND MINOR FIELDS

LOCATION OF SCHOOL

GRADE AVERAGE OR CLASS STANDING

DIPLOMA OR DEGREE

DATE OF GRADUATION

NAME OF SCHOOL (2)

ATTENDANCE FROM

ATTENDANCE TO

MAJOR AND MINOR FIELDS

LOCATION OF SCHOOL

GRADE AVERAGE OR CLASS STANDING

DIPLOMA OR DEGREE

DATE OF GRADUATION

Business and Experience Record

Give a complete record of your experience, beginning with your present or last position, include military service, indicate by asterisk (*) those employers you do not wish us to contact. Please provide last five years experience:

HAVE YOU BEEN IN BUSINESS FOR YOURSELF (1)

NAME AND ADDRESS OF EMPLOYER

POSITION, TITLE AND DUTIES

EMPLOYMENT FROM

EMPLOYMENT TO

SUPERVISOR’S NAME AND TITLE

REASON FOR SEPARATION

BEGINNING SALARY

ENDING SALARY

HAVE YOU BEEN IN BUSINESS FOR YOURSELF (2)