Franchisee Application | Bumpers Drive-In of America

First Name *

Last Name *

Preferred Phone *

Preferred Mailing Address *

City *

State *

Zip Code *

E-mail Address *

Have you ever been convicted of anything other than minor traffic violations? Are you involved in pending litigation? *

Have you or your spouse ever declared personal bankruptcy? Please explain. *

Are you a US citizen, a permanent legal resident or do you otherwise have the legal right to remain in the US to operate a franchise? *

Yes

Are you fluent in another language? *

Yes

If YES, which language?

Last year of schooling completed *

Degree

Occupational Field *

Position Held *

Company Name *

Describe duties, number of employees supervised and responsibilities *

Have you ever owned your own business or franchise? *

Have you ever had a business failure? *

Total assets (in $s) *

Total debt (in $s) *

Net worth (assets minus debt) (in $s) *

Total non-borrowed funds available to invest *

Relation's First Name

Relation's Last Name

Relationship

Are you or your employer providing products, goods or services to Bumpers or franchisees of Bumpers? *

Yes

How much time will you devote to this business? *

Full Time

Part Time

Passive Investor

Would you be willing to relocate for a restaurant opportunity? *

Yes

Definitions:
Rural = Country - (Population 0-2,500)
Small Town = (Population 2,500-50,000)
Suburban = Outside of City or Town - (Population 50,000+ outside city)
Urban = City or Town - (Population 50,000+ in city)
Inner City = Large Cities - (Population 300,000+) - Usually areas of large cities that are densely populated, older, poorer, have higher unemployment, less education opportunities, and higher crime rates.

Enter preferred region (Northeast, Southeast, Midwest, Northwest or Southwest) *

Have you ever applied for a Bumpers franchise? If so, where and when? *

How did you learn of Bumpers franchise opportunities? *

Online/Website

Bumpers Employee

Bumpers Franchisee

other

Employee name & position

Bumpers franchisee name

Enter comment

I understand that the submission of this application does not obligate me or Jackies International in any manner, nor does it imply that there is any legal or commercial relationship between us. I further understand that Jackies International has the sole right to approve or disapprove the Application for any reason it may determine, and in the event that Jackies International disapproves the Application, Jackies International shall have no liability or ongoing obligations to me.

I certify that the information contained in this Application is accurate and complete. Jackies International is authorized to investigate my background as it pertains to my qualifications.

Terms & Conditions *

I agree

I disagree

Leave this field blank