RFC - myburritoshak.com

Request For Consideration

Thank you for your interest in becoming a Burrito Shak franchisee! This Request For Consideration form is meant to help us evaluate your qualifications as a potential Burrito Shak franchisee. Any information you provide will be kept strictly confidential. The submission of this form does not obligate you or Burrito Shak in any way.

This document is not a solicitation or an offer to sell a franchise and is intended for informational purposes only.

"*" indicates required fields

Personal Information

Name*

Email Address*

Date of Birth*

Mobile Number*

Business Number

Home Number

Address*

City*

State*

Zipcode*

Years at this address*

Do you own your own home?*

Marital Status

Spouse’s Name

Children's Names & Ages

Business Experience

(Please Indicate if you are a franchisee in another system)

Date Started (Business Experience 1)*

Company Name (Business Experience 1)*

Annual Salary (Business Experience 1)*

Date Ended (Business Experience 1)*

Position/Responsibilities (Business Experience 1)*

Date Started (Business Experience 2)

Company Name (Business Experience 2)

Annual Salary (Business Experience 2)

Date Ended (Business Experience 2)

Position/Responsibilities (Business Experience 2)

Date Started (Business Experience 3)

Company Name (Business Experience 3)

Annual Salary (Business Experience 3)

Date Ended (Business Experience 3)

Position/Responsibilities (Business Experience 3)

Education

College*

Degree(s) Earned*

Dates Attended*

Additional Education

Degree(s) Earned (Additional Education)

Dates Attended

Other Certifications, Special Schooling, Training

Business and Management Goals

Will you be operating the franchise Personally?*

Will your spouse be active in the franchise?*

Would you be able to devote your full time to this business? If not, what percentage?*

Top three territories you are interested in (in order of preference)*

# of Units Considering*

What annual income do you feel you must realize in the first year?*

Second year?

Third year?

Do you plan to have any partners?*

If so, would they be active or passive?

Do you plan to have investors? To what extent?*

Additional Information

When and where did you first learn about the Burrito Shak Franchisee Opportunity?

Type of entity you plan to operate as a Franchisee (Partnership/Corp/LLC/Sole Proprietor)

Abilities, Interests, & Expectation?

What are your strongest business skills (e.g. sales, management, accounting, etc.)?*

What areas of running a business do you feel you may require assistance/training?*

Why are you interested in a Burrito Shak franchise?*

What are your expectations about owning a Burrito Shak franchise?*

References

Name of Business Reference*

Email Address (References 1)*

Phone Number (References 1)*

Name of Business Reference

Email Address (References 2)

Phone Number (References 2)

Name of Business Reference

Email Address (References 3)

Phone Number (References 3)

Name of Business Reference

Email Address (References 3)

Phone Number (References 3)

Legal Information

Have you had any misdemeanor, felony, or criminal convictions or impending prosecutions? (If Yes, please give details)*

Have you ever had a court judgment against you? (If yes, please give details)*

Financial Data

Cash*

Notes Payable To Banks*

Accounts & Notes Receivable*

Notes Payable To Others*

Life Insurance*

Loans Against Life Insurance*

Stocks & Bonds*

Accounts Payable*

Real Estate*

Mortgage Payable*

Deferred Income*

Taxes Payable*

Personal Property*

Owed on Credit Cards*

Other Assets $ Other Liabilities*

Total Assets $ Total Liabilities*

TOTAL NET WORTH:*

CURRENT ANNUAL INCOME:*

Name (please print)*

Date*

NOTICE: This advertisement is not an offer to sell a franchise. An offer can only be made by a disclosure document filed first with the appropriate agencies of the respective filing states. Such filing does not constitute approval by such agencies. Franchise offerings are made by FDD, Franchise Disclosure Document Only. Currently, the following states regulate the offer and sale of franchises: California, Hawaii, Illinois, Indiana, Maryland, Michigan, Minnesota, New York, North Dakota, Oregon, Rhode Island, South Dakota, Virginia, Washington, and Wisconsin. If you are a resident of one of these states, we will not offer you a franchise unless and until we have complied with applicable pre-sale registration and disclosure regulations in your jurisdiction.