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. 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? Upload Picture 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 WHERE IS THE CAPITAL? Savings/Checking Home Stocks/Bonds Vehicles Life Insurance Other Assets 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) 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 I confirm that the above information is provided to the best of their knowledge. SUBMIT
