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Franchise Application

NEW FA

Franchise Application Form

"*" indicates required fields

Your Information

Name*

Address*

Spouse Name



Education

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Employment History

(List current employer first. Please provide 10 years of employment history, resume or business summary may be attached).
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Employer Address*




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Employer Address




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Employer Address




Max. file size: 128 MB.
Have you or any member of your family ever been affiliated with or employed by any Gold Star franchise?*
Do you currently own a business?*
Is this a franchised business?
Have you previously owned a business?*
Was this a franchised business?
Do you intend to operate and manage this Franchise yourself?*
Do you have the physical ability to perform restaurant job duties? (Some job functions will require lifting 50 lbs. or more, standing for 8+ hours per day, etc.)*
Have you ever filed for bankruptcy?*
Are there any pending cases of litigation in which you are involved?*
Are you willing to undergo a background check?*



Financial Information-Assets




Financial Information-Liabilities




Bank Reference


Address*




Additional Bank Reference if Applicable


Address

Except as disclosed on this form, I am not an owner, officer, director, employee or lender of any business engaged in the sale of chili. I am not subject to any agreement which would prohibit me from becoming a Gold Star franchisee. Upon acceptance of this document, I hereby certify that all information supplied to Gold Star Chili, Inc. is true and correct, and hereby acknowledge that Gold Star Chili, Inc. can rely on this information to assess my qualifications for a Gold Star franchise.*