Franchise Evaluation Form

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MICHAEL’S PIZZA Respects the Privacy of your information. We will use the information you provide to evaluate your business qualifications as a MICHAEL’S PIZZA Franchise. Please fill in the following information as completely as possible. Privacy Policy: All information provided is kept confidential and will not be disclosed except for purposes of verification. Please answer all questions.
Last Name
First Name
Middle
Date of Application
Birthdate
Age
Social Security Number (optional)
Phone
Current Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
How Long?
Previous Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
How Long?
Marital Status
SingleMarriedWidowed
Full Name of Spouse
Occupation of Spouse
Names and Age of Dependent Children

The business will be owned and operated by:
MyselfA Group
Please Explain Fully
Amount of Capital Available for this Business
Where is the Capital?
Checking/ SavingsHomeStocks/BondsVehiclesLife InsuranceOther Assets
Explain Fully
Territory for Which Application Made
Credit Score
What Other Areas Would You Consider?

Please list all education you have received including high school, college, military or special training
Name of School
Date of Attendance - From
Date of Attendence - To
Major and Minors
% of Expenses Earned
Location of School
Grade Average or Class Standing
Diploma or Degree
Date of Graduation
Name of School
Date of Attendence - From
Date of Attendence - To
Major or Minors
% of Expenses Earned
Location of School
Grade Average or Class Standing
Diploma or Degree
Date of Graduation

GIVE A COMPLETE RECORD OF YOUR EXPERIENCE, BEGINNING WITH YOUR PRESENT OR LAST POSITION, INCLUDE MILITARY SERVICE, INDICATE BY ASTERISK (*) THOSE EMPLOYERS YOU DO NOT WISH US TO CONTACT.
Have You Been in Business for Yourself?
YesNo
Name and Address of Employer
Position, Title and Duties
Dates of Employment
Supervisor's Name and Title
Reason for Separation
Beginning Salary
Ending Salary
Name and Address of Employer
Position, Title and Duties
Dates of Employment
Suervisor's Name and Title
Reason for Separation
Beginning Salary
Ending Salary
Name and Address of Employer
Position, Title and Duties
Dates of Employment
Supervisor's Name and Title
Reason for Separation
Beginning Salary
Ending Salary