Apply To Own

In addition to requesting additional information, this application is used for purchasing a new franchise, an additional franchise or the purchase/transfer of an existing franchise. The filing of this form does not obligate the applicant to purchase or the franchisor to sell a franchise.

Apply To Own

Personal Information
Education
Employment History
Financial Information
Partners
Territory Location
Authorization and Release
Confirm and Submit

1) Personal Information:

Where did you hear about the High Touch High Tech – Science Made Fun Franchise?

Internet

Magazine

Trade Show

Other

First Name

Last Name

Gender

Male

Female

Date of Birth

Home Ownership

Own

Rent

Present Address

City

State/Province

Zip / Postal Code

Country

Citizenship

Home Phone

Mobile Phone

Email address

Marital Status

Single

Married

Divorced

Widowed

Military Service

Army

Navy

Air Force

Marines

Other

Have you ever been convicted of a felony or equivalent?

Yes

Has a judgment been filed against you or have you been involved in any litigation proceeding within the past 5 years?

Yes

Spouse Information (Use a separate application for Partners)

Choose a Spouse Information Option below

Yes (‘Yes’ Shows spouse information form fields below)

No (‘No’ Hides spouse information form fields below)

Spouse First Name

Spouse Last Name

Spouse Gender

Male

Female

Spouse Date of Birth

Spouse Citizenship

Spouse Military Service

Army

Navy

Air Force

Marines

Other

Spouse Occupation

Has your spouse ever been convicted of a felony or equivalent?

Yes

Has a judgment been filed against your spouse or has your spouse been involved in any litigation proceeding within the past 5 years?

Yes

2) Education

Highest Education Achieved

College Degree or Higher

Some College

High School

GED

Did not complete High School

Name of School Attended

Course of Study

Degree Attained

3) Employment History

Upload resume or complete the Employment History form below:

Upload Resume?

Yes

No ( * I will complete employment history form)

Resume Upload (Only PDF, DOC, DOCX, and RTF file formats are accepted):

Choose File

Current Employment Status:

Current Employment Status

Currently Employed Full-time

Currently Employed Part-time

Self-Employed

Unemployed

Retired

Current Employer:

Name of Current Employer

Type of Business

Description of Duties

Dates of Employment

Previous Employment #1:

Name of Previous Employer

Type of Business

Description of Duties

Dates of Employment

Previous Employment #2:

Name of Previous Employer

Type of Business

Description of Duties

Dates of Employment

4) Financial Information

Income from current occupation

Income from other sources

Describe other sources

Assets & Liabilities:

Individual Liquid Assets (cash, stocks, etc.)

Individual Fixed Assets (home,car, etc.)

Individual Total Assets

Individual Liabilities

Individual Net Worth

Cash available for business purposes?

Additional Information:

Will you be seeking a loan/financing to purchase this business?

Yes

Would this business be your sole source of income?

Yes

Have you ever filed for bankruptcy?

Yes

Date Filed?

Date Discharged?

Do you have previous franchise experience?

Yes

Are you currently involved in a franchise?

Yes

If yes, provide Franchise Name

Who will manage the daily operations of this franchise?

If accepted, when will you be ready to invest in a High Touch High Tech Franchise?

5) Partners

Will you have Partners?

Yes

No (If no, click “Next” to Continue)

Partner #1

First Name

Last Name

Gender

Male

Female

Type of Partner

Active

Silent

Percentage of Ownership

Partner #2

First Name

Last Name

Gender

Male

Female

Type of Partner

Active

Silent

Percentage of Ownership

6) Territory Location

Please list your territory preferences for opening a High Touch High Tech franchise:

Territory / Location #1

Territory / Location #2

Territory / Location #3

7) Authorization and Release

As part of the application and approval process I understand that certain background investigations may be conducted. I hereby authorize High Touch Investment Corp. to procure a Consumer Report which could include obtaining and/or verifying information regarding credit worthiness, credit standing, and credit capacity. This report may be compiled with information obtained from credit bureaus, court record repositories, past or present employers.

I authorize law enforcement and other government agencies to release to High Touch Investment Corp. any existing personal information regarding myself relative to the conviction of any criminal act.

I authorize all appropriate parties to release, or verify any information.

Disclaimer

High Touch Investment Corp will not release personal information you provide us to third parties without your written consent, absent court order or legal process.

This application form is not intended as an offer to sell or the solicitation of any offer to buy a franchise. We offer franchises solely by means of our Franchise Disclosure Document.

* I have read the the above Authorization, Release & Disclaimer.

* I consent to electronic disclosure. (If available in my country)

Signature

Date

Apply To Own

1) Personal Information:

Spouse Information (Use a separate application for Partners)

2) Education

3) Employment History

Current Employment Status:

Current Employer:

Previous Employment #1:

Previous Employment #2:

4) Financial Information

Assets & Liabilities:

Additional Information:

5) Partners

Partner #1

Partner #2

6) Territory Location

7) Authorization and Release

Disclaimer

8) Confirm and Submit

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