Application – Request for Consideration
In order for us to further consider you for a NerdsToGo franchise and to provide you additional information, we need some additional information. Please complete all sections requested below. We look forward to working with you in this evaluation process.
Fields with an * are required.
Personal Information:
*First Name:
*Last Name:
*Address:
Address 2:
*City:
*State:
*Zip Code:
*Home Phone: OK to contact here?
Cell Phone: OK to contact here?
*E-mail: OK to contact here?
Married:
Spouse's Name:
Spouse's Occupation::
Names & Ages of Children:
Professional Information:
Employer:
# of Years::
City/State:
Phone:
Mgmt Experience:
How Long:
Sales Experience:
How Long:
Technical Experience:
How Long:
Have you ever owned or operated a business in the past? Please explain:
Business References:
#1 Name:
 Years Known:
 Telephone:
#1 Name:
 Years Known:
 Telephone:
#1 Name:
 Years Known:
 Telephone:
Financial Information:
Cash Available – What do you have available for this Business:
Real Estate – What is the Value of Current Real Estate?
Annual Income – What is Your Current Annual Income?
Annual Income – What was Your Average Annual Income for the Past 3 Years?
Additional Funds - Do You Have Access to Additional Funds?
Possible Funding Source – List Source of Loan for Business?
Net Worth – What is Your Total Net Worth?
Partner – Will You Have an Equity Partner in Your Business – Who?
Territory of Interest:
Primary Territory – List Primarily City and State Interested In:
How Many Territories are you Interested in Starting With?
(List Secondary Territory - City and State):
Signature Authorization:
I certify that the above information supplied by me is true and correct and that I am a bone fide franchise candidate who agrees not to make unauthorized disclosures of any of NerdsToGo’s confidential information or to use it for any purpose other than evaluating its franchise offer. I agree to provide additional information if required by NerdsToGo and authorize release of any information, from any source, deemed necessary by NerdsToGo to verify any and all of the above information. I further authorize NerdsToGo the release to NerdsToGo of any information regarding my character, credit standing or past employment. This authorization is good for twelve months.
*Signature:
(Typing name in this field authenticates application and signature)
▪ Qualifications
▪ Why Computer Services?
▪ Why Franchise?
▪ Why NerdsToGo?
▪ Training and Support
▪ The Investment
▪ Request Information
▪ Franchise Application

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