Franchise Application

Please Fill out the Franchise Application Form below or you may also download the form.
Investor/ Partner must fill out separate application.
Please fill out application completely to be excepted for consideration.

      
      
      PERSONAL INFORMATION
Full Name:
Spouse Name:
Date of Birth:
Date of Birth: 
Social Security #: 
Social Security #:

Residence Address:
City/ State/ Zip:
E-mail:*
Have you ever been to a One Stop Nutrition Store?
How did you hear about One Stop Nutrition Franchising Opportunites?:
EXPERIENCE
HM #:
WK #:
Best number to be reached at:
Best time to be reached:
Current Employer:
Employer Address:
Salary:
Previous Employer:
Reason for leaving:
Spouse current employer:
Employer Address: 
Salary: 
Spouse Previous Employer:
Reason for leaving: 
Have you or your spouse ever owned a business?
Type of business owned/ Dates of ownership:
Date of Employment:
Position:
May we contact employer?             Phone Number:
Dates of Employment:
Previous Salary:
Date of Employment: 
Position: 
May we contact employer: Phone  Number:  
Dates of Employment: 
Previous Salary: 
Do you still own business?
Yearly Income:

List any experience you or your spouse have in the Health/ Nutrition field as well as skills that may qualify you to own a franchise concept store?:
PREFERENCES
Have you looked into other businesses?
Which ones?
How long have you been looking into owning a One Stop Nutrition Concept Store?
What made you decide to pursue opening a One Stop Nutrition concept store?
When would you like to open your business?
What is the preferred location you would like to open your business?
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INCOME
Continuing Salary:
Spouse Cont. Salary:
Other Income:
Explanation of other income:
ASSETS AND LIABILITIES
Continuing Bonus:
Continuing Bonus: 
Total Income:
ASSETS:
Cash:
Savings:
Checking:
Investments:
Notes Receivable:
Real Estate:
Personal Property:
Retirement:
Other: 
Other:
Total Assets:
Total assets minus total liabilities = $ (net worth):
What is investment in store? $
EDUCATION
LIABILITIES:
Accounts Payable:
Business Notes:
Auto Notes:
Other Notes:
Credit Cards:
Mortgage Notes
Other Mortgage
Taxes Owed:
Loan of Life Insurance:
Other (Itemize):
Total Liabilities:
Is financing needed?
High School:
Degree:
LEGAL
College:
Hobbies:
Are You / Spouse citizens of the United States?
Had any repossessions?
Have You/ Spouse ever had any action (Criminal, Civil, or Administrative) regarding Fraud, Unfair or Deceptive Practices?
Have You/ Spouse ever filed bankruptcy?
Have You/ Spouse ever been convicted of a felony?
Any judgements or indictments?

I/WE AUTHORIZE ONE STOP NUTRITION FRANCHISING OR ITS AGENTS TO MAKE INQUIRIES AS NECESSARY TO DETERMINE THE ACCURACY OF THE STATEMENTS MADE ABOVE AND TO DETERMINE MY CREDIT WORTHINESS. I/WE PROMISE THAT ALL INFORMATION STATED IN THIS APPLICATION IS TRUE AND ACCURATE. I /WE RELEASE ONE STOP NUTRITION FRANCHISING,ITS AFFILIATES, AGENTS AND EMPLOYEES FROM
ANY LIABILITY ARISING EITHER FROM THE RECEIPT OR USE OF ANY INFORMATION OBTAINED THROUGH THESE SOURCES. I/WE UNDERSTAND THAT THE SUBMISSION OF THIS APPLICATION DOES NOT OBLIGATE YOU OR US IN ANY WAY.
By submitting this form both you/ and spouse if applicable agree to the above statement.
Word Verification:
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