Franchise Information Form

Personal Information
First Name: *
Middle Name:
Last Name: *
Are You a U.S. Citizen? * Yes No
Residence *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email *
Cell Phone: * - (###) - ### ####
Date of Birth * / MM / DD YYYY
Are You Married? Yes No
If so, what is your Spouses Name?
Education
High School: (Highest grade or degree attained)
Junior College/Tech: (Highest grade or degree attained)
College: (Highest grade or degree attained)
General Information
Have you ever visited a Bar-B-Cutie? * Yes No
Do you have food service experience? * Yes No
Are you looking to run the business yourself?: * Yes No
Will you have other owners/partners?: * Yes No
If yes, who?
What is your timeline for getting started? *
Why do you desire to join the Bar-B-Cutie® team?:
What city or town are looking to develop a Bar-B-Cutie® in?: *
How did you hear about Bar-B-Cutie?
Are you looking for: * Single Store Opportunity Multiple Store Opportunity
Employment Information
Are you: Employed Self-Employed Unemployed Retired
#1 - Name of Company/Employer - Type of Business - Position
#2 - Name of Company/Employer - Type of Business - Position
Assets
Total Liquid Assets Available: (e.g. cash, stock, bonds, mutual funds) *
Total Tangible Assets: (e.g. house, car, business, etc.) *
Total Liabilities: *
If you don't meet our financial requirements ($400,000 Total Net Worth Required) we ask that you explain how you will fund your Bar-B-Cutie® business: *
Legal Information
Are you currently involved in any lawsuits?: * Yes No
Have you ever filed for bankruptcy protection?: * Yes No
If yes, identify discharge date: / MM / DD YYYY
Are you or anyone in your immediate family a partner or owner (partial or otherwise) of a restaurant or deli?: * Yes No
Are you or anyone in your immediate family a partner or owner (partial or otherwise) of a restaurant or deli?: * Yes No
If yes, list name of business and family relationship:
Are you or anyone in your immediate family employed by a restaurant or deli?: * Yes No
If yes, list name of employer and family relationship:
Are you or anyone in your immediate family currently under any form of non-competition agreement that limits your right to operate any business?: * Yes No
If yes, list name of employer and family relationship: *
Have you ever been convicted of a felony?: Yes No
References (Please complete all three entries.)
Name:
Relation of this person to you:
Phone Number and Area Code:
Years you have known this person:
Name:
Relation of this person to you:
Phone Number and Area Code:
Years you have known this person:
Name:
Relation of this person to you:
Phone Number and Area Code:
Years you have known this person:
Terms & Conditions
I understand that the granting of a franchise is at the sole discretion of the Franchisor (Bar-B-Cutie®) I understand that the information I am receiving from Bar-B-Cutie®, or from any Bar-B-Cutie® associate, employee, agent, or franchise is highly confidential, has been developed with a great deal of effort and expense to Bar-B-Cutie®, and is being made available to me because of this application, and will be held in strictest confidence. I will not divulge or use any data, customer or employee names and addresses, techniques, methods, advertising materials, forms, or other information of whatever kind recceived from the Franchisor without consent. I authorize the procurement of an investigative consumer report and understand that it may contain information about my background, character, general reputation, mode of living, credit worthiness and job performance. I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I hereby release Bar-B-Cutie®, its representatives, and their officers, agents, employees and servants from any liability arising from or relating to the preparation of this report or investigation relating thereto. This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation and past performance. I authorize all persons, schools, companies, corporations, financial institutions, credit agencies and bureaus, courts, and law enforcement agencies to release such information without restriction or qualification to Bar-B-Cutie®, its representative, or any of their officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization, and I here by release Bar-B-Cutie®, and its representatives, and their officers, agents, employees, and servants, from any liability on account of the provision of such information or the use of such information in connection with this application. This authorization/release shall apply to this as well as any future request for an investigative consumer report by Bar-B-Cutie® I authorize that a photocopy, electronic submission or facsimile of this release be considered as valid as the orginal. I have read this application and everthing I have stated in it is true. Additionally, I understand the filing of this application does not obligate me the applicant to purchase or the franchisor to sell a franchise. I understand that the information provided by me will be relied upon by the Franchisor. I certify that the statements in this application are complete, and I have not withheld information affecting my reputation or credit standing. * I Accept Terms & Conditions I Do Not Accept Terms & Conditions

Franchise Information Form

Franchise Information Form

Personal Information

Education

General Information

Employment Information

Assets

Legal Information

References (Please complete all three entries.)

Terms & Conditions