MCICS FRANCHISE APPLICATION Please complete the following application and Return by email to email@example.com or you can fax it to (905) 670-2133. We will respond to you after reviewing it. Personal Data Name : Address : City : State : Country : Business Phone : Home Phone : Email Address : Date of Birth : Marital Status : How did you become aware of this franchise opportunity? Business Experience (Please list company name, type of business, position held, dates position held and your most significant accomplishments) Present/Most Recent Position: Previous Position Previous Position Have you owned a business : If yes, what type? Other Business Affiliations (Officer, Director, Partner, etc.) Business and Management Goals Do you plan to devote full time to this business venture? Will your spouse/other family members be active in the franchise? Do you plan to have equity partners? If you are planning on having equity partners, identify all partners : Active in Name Address Telephone No. franchise 1. 2. 3. 4. Preliminary Financial Disclosure (Please note: The information provided by you in this section will be kept completely confidential and will no be disclosed in any circumstances to any third party other than the Franchiser and Franchisee) Assets : Liabilities : Net Worth : Liquid Assets of US$ 10,000 available for investment if required? Currently have office space of 500 sq. ft. : Address of the Office Space : If you don't have office space available, are you in a position to purchase/rent the same? Provide details here : Other Information What skills, experience and personal attributes do you have which will support you in your pursuit of becoming a successfully licensed MCICS franchisee (i.e. Sales, Marketing, Advertising, People skills, Computer knowledge, etc.) ? Why do you believe you can successfully operate a MCICS franchise? Language Skills. Are you fluent in English? What other languages do you speak? How will the MCICS franchise opportunity help you in achieving your business and personal goals? Please give us an estimate of how many client or revenues you are planning to achieve on a monthly basis. If are already doing immigration business, please tell us the rates you are currently charging your present clients. Give rates for each category. Are you currently working as an agent for another immigration company? If yes, what is the name of the company? Do you have any contract or obligations with that company that will interfere with the interests of MCICS? Additional Information or comments that you might like to share with us in evaluating your request for consideration.
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