Join EducatedGlobe Franchise Team Contact Information First Name *: Last Name *: Email Address *: Date of Birth : Address* : City *: Country* : State: ZipCode *: Home Phone*: Mobile Phone *: Best # to reach you? HomeMobile Marital Status : SingleMarried # of Children/Dependents : How did you first learn about the EducatedGlobe Opportunity? Education Highest Level of Education : Degree : Spouse's/Partner's Education : Degree : Most Recent Employment Your Employer : Position/Title: Describe Key Responsibilities : Yearly Salary : Date Started : Spouse's/Partner's Most Recent Employment Employer : Position/Title: Describe Key Responsibilities : Yearly Salary : Date Started : Will he/she continue work? YesNo Additional Information List Additional Business Partners: Name : Type of Partner : Name : Type of Partner : Name : Type of Partner : What most interests you about opening a EducatedGlobe center? Do you own your own home? YesNo Do you have high speed internet? YesNo If so, what type and what speed? Do you have space to host students? YesNo How much space? Confidential Financial Information ASSETS(Summary per line-Do NOT Itemize) Cash/Savings: Rs Home value: Rs Other Real Estate: Rs Non-liquid Assets (Stock, Jewelry etc.): Rs Providence / Retirement funds: Rs Market Value of Business Owned : Rs Other Assets : Rs Total Liabilities : Rs NET WORTH : Rs (Total Assets Less Total Liabilities) Current Income Status SOURCES OF ANNUAL INCOME (Estimated totals - do NOT itemize) Salaries : Rs Dividends & Interest : Rs Bonuses & Commissions : Rs Real Estate Income : Rs Other Income : (Total - Do NOT Itemize) Rs Total Income : Rs How is your credit? If your credit is fair or below please explain why? Business Information Have you or your spouse ever owned another business? YesNo Was it independent or a franchise? Name of franchise organization : Are you still affiliated with this organization? YesNo If NOT, please give details : Have you ever failed in a business? YesNo If YES, please give details : Has anyone in your family been an entrepreneur? If so, what was their relation to you and what business did they start?
