Name:
Address:
City:
State:
Zip:
Contact
Information:
Home
Telephone (with area code):
Work
Telephone (with area code):
Cell
Phone (with area code):
Fax
Number(with area code):
Email
Address:
Are
You Employed Now?:
Yes
No
If
so, where?
Salary:
Contact
Name:
Phone
Number:
Best
Time to Call you at Home:
Date
you can start:
Hours
you can work:
Have
you ever been convicted of a felony?
Yes
No
If
so, describe briefly:
Do
you have dependable transportation:
Yes
No
Former
Employer
From
(month and year)
To
(month and year)
Company
Name:
Salary:
Phone
Number
Supervisor
Name:
Reason
for leaving?
Which
Plan are you Interested in?
Please Check Below:
Plan
A - $6,000/year; $500 Monthly Income
Cash
Finance
Plan
B - $12,000/year; $1,000 Monthly Income
Cash
Finance
Plan
C - $24,000/year; $2,000 Monthly Income
Cash
Finance
Plan
D - $30,000/year; $2,500 Monthly Income
Cash
Finance
Plan
E - $36,000/year; $3,000 Monthly Income
Cash
Finance
Plan
F - $42,000/year; $3,500 Monthly Income
Cash
Finance
Plan
G - $66,000/year; $5,500 Monthly Income
Cash
Finance
Plan
H - $126,000/year; $10,500 Monthly Income
$39,000 price
Plus Exclusive Distributorship
Plan
I - $192,000/year; $16,000 Monthly Income
$49,500 price
Plus Exclusive Distributorship
Do
you plan to operate the cleaning franchise yourself?
Yes
No
If
not you, then who will operate the franchise?
Do
you want to be actively involved in the advertising,
training and bidding during the Grand Opening?
Yes
No
Service
Area will be a 30 mile radius.
Your
completion and submittal of this application to
us authorizes Service One to check all information
given on this application. Please note that a security
and criminal background will be done on all applicants.
The approval is based on the application information.