CANDIDATE QUALIFICATION SUMMARY
Personal Information
Salutation
Last Name
First Name
Middle Name
Mr.
Ms.
Street Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Fax Number
Best Time to Call
Email Address
Social Security Number
Date of Birth
Driver's License Number
State
Residense
Marital Status
# of Dependents
Own
Rent/Lease
Married
Single
Divorced
Separated
Widowed
Spouse's Name
Referred By
Former Employers
List below you last two employers, starting with the last one first.
Date From
(Mo/Yr)
Date To
(Mo/Yr)
Employer's Name and Address
Salary
Position
Reason for Leaving
Education
Highest Education Level Achieved
HS Graduate
College Graduate
Masters
Doctorate
College/University
Major
Years & Degree
Professional Training and/or Certification
Franchisee Information
Why are you seeking or expanding a business of your own?
Why are you interested in an Electrical Enlightenment franchise?
Are you a U.S. Citizen or do you have the right to legally reside (and work) in the U.S. for the duration of the franchise agreement?
U.S. Citizen
Other Status (please explain):
Are you a Military Veteran?
If yes, would you like to participate in the IFA VetFram program?
Yes
No
Yes
No
Qualification Questionaire
1. Describe your present business and your role in it.
2. What contractor groups, associations, or franchises are you affiliate with?
3. What are the greates challenges facing your business?
a.
b.
c.
4. If you were to start over, what would you do differently?
5. What do you think makes the difference between success and failure?
6. What was you greatest business of personal...
Accomplishment?
Dissapointment?
7. What have you done over the past year to improve...
Your business?
Yourself?
8. Please list the following aspects of life in the order of most importance to you.
Social
Spiritual
Mental
Physical
Family
Financial
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
9. Are you interested ina franchise for a single or multiple location(s)?
Single
Mutiple
If Multiple, How Many?
10. What is your succession plan (for passing your business to your heirs, for selling it, etc.)?
References
Name
Phone
Best Time to Call?
1.
AM
PM
2.
AM
PM
3.
AM
PM
Comments
Financial / Personal
Income per year from present occupation
Amount of capital available for investment
Spouse's Income (per year)
Statement of Financial Condition
Business
Personal
Combined
Assets
Liabilities
Cash on hand or in bank
Mortgage
Marketable securities
Second mortgage
Primary residence
Lines of credit
Other real estate
Business loans
Commercial real estate
Credit cards
Automobiles
Vehicle loans
Personal property
School loans
Business value
Real estate secured loans
(itemize, do not include 1st or 2nd mortgages)
Notes receivable
Retirement fund
Profit sharing
Other obligations (itemize)
401(k)
IRA
Life insurance cash value
Other assets (itemize)
Total Assets
Total Liabilities
Net Worth (Assets - Liabilities)
Availability
When would you be available to visit the World Headquarters?
2-4 weeks
1-2 months
When would you be available to start you franchise? (month/year)
Will your spouse (if applicable) be a part of your business?
Yes
No
What are your preferred locations? (Be specific)
How did you hear about us?
Other information you believe would assist us in evalutating your qualifications?
Criminal Record
Have you ever been convicted of a felony?
Yes
No
If Yes, when and why?
Name of Court
City and State
Have you ever been convicted of a misdemeanor (other than a traffic violation)?
Yes
No
If Yes, when and why?
Name of Court
City and State
Have you ever been convicted of a DWI or DUI?
Yes
No
If Yes, when and where?
Name of Court
City and State
