Franchise Application

This franchise application for Uptown Cheapskate will help you in preparing and presenting your personal information for confidential use by us to determine your qualifications as a franchisee. Please complete it with as much detail as possible.

The completion of this form places no continuing obligation on either party.

Please have each person signing fill out a separate application.

Application

PERSONAL INFORMATION
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Are you married?*
Spouse's Name*
First Last
Spouse's Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Mobile Phone*
Home Phone
Work Phone
Number of Children / Dependents*
Education / Degree*
Spouse's Education / Degree*
Have you (or any person on this application) ever been convicted of a crime (felony or misdemeanor)?*
Have you (or any person on this application) even been involved with a personal or business bankruptcy?*
Date of bankruptcy*
MM slash DD slash YYYY
Type of bankruptcy*
EMPLOYMENT INFORMATION
Employer*
Employer's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Position / Title*
Date Started*
MM slash DD slash YYYY
Salary / Income*
Previous Employer*
Position / Title*
From / to*
Describe your background and skills that will help you succeed in this business*
EMPLOYMENT INFORMATION - SPOUSE
Employer*
Employer's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Position / Title*
Date Started*
MM slash DD slash YYYY
Salary / Income*
Describe your background and skills that will help you succeed in this business*
How Did You Hear About Us?
FINANCIAL INFORMATION
Assets
Cash / Liquid Assets*
Real Estate Value / Home*
Real Estate Value / Other*
Stocks / Bonds/ Securities*
Retirement Accounts (401k)*
Business Equity*
Automobiles Value*
Other Assets*
Total Value of Assets*
Liabilities
Mortgage (primary residence)*
Monthly mortgage payment*
Other real estate mortgage*
Auto Loans (financing or lease)*
Credit Card Debt*
Business Debt*
Educational Debt*
Monthly child support obligation*
Other monthly payments*
Other debts*
Total Liabilities*
Income
Salary*
Commissions*
Bonuses*
Dividends*
Interest*
Real estate income*
Monthly child support received*
Other income*
Total Income*
Business Information
Will you have any business or financial partners?*
Partner's Name(s)- All partners must submit separate applications*
Who will run the daily operations of the business?*
Will this business be your primary source of income?*
Upload Your Resume
Max. file size: 50 MB.
Signature*
Uptown Cheapskate is an equal opportunity company and does not discriminate against applicants with regard to race, color, gender, sexual orientation, age, religion, disability or any characteristic protected by applicable law.

Application

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

EMPLOYMENT INFORMATION - SPOUSE

FINANCIAL INFORMATION

Assets

Liabilities

Income

Business Information