APPLICATION

Please note: THIS IS NOT AN EMPLOYMENT APPLICATION FORM.

Use this application to indicate your interest in becoming an owner of your own Bagel Bagel Cafe. Upon completing this form, your information will be directed to our Franchise Sales department, who will contact you shortly.

Thanks for your interest in Bagel Bagel Café!

Personal Information
First Name:
Middle Name:
Last Name:
Are you a US Citizen?:
If no, what country?:
Date of Birth:
Yes No
(MM/DD/YYYY)
Residence Address:
City, State:
Zip Code:
,
Best Phone Number to reach you:
Home Phone:
Cell Phone:
Fax:
Email Address:
Are you married?
Yes No
If Yes, Please list spouse name:

Education
High School:
(Highest grade or degree attained)
Junior College/Tech:
(Highest grade or degree attained)
College:
(Highest grade or degree attained)

General Information
Have you ever visited a Bagel Bagel Cafe?:
What is your timeline for getting started?
Yes No
Do/have you owned a business before?:
What kind of experience?:
Yes No
Are you looking to run the business yourself?:
Will you have other owners/partners?:
Yes No
Yes No
What city or town are looking to develop a Bagel Bagel Cafe in?:
1st Choice:
2nd Choice:
Are you looking for a single store development?:
Are you looking to become an area developer?:
Yes No
Yes No

How did you hear about Bagel Bagel Cafe?:

Employment Information
Are you:
Employed Self Employed Unemployed Retired
Please answer employment questions below.
Name of Company/Employer:
Type of Business:
Position:
Name of Company/Employer:
Type of Business:
Position:
Name of Company/Employer:
Type of Business:
Position:

Assets
Total Liquid Assets Available:
(e.g. cash, stock, bonds, mutual funds)
Total Tangible Assets:
(e.g. house, car, business, etc.)

($100,000 Liquid Capital Required)

Total Liabilities:
($300,000 Total Net Worth Required)
If you don't meet our financial requirements we ask that you explain how you will fund your Bagel Bagel Cafe business:

Legal Information
Are you currently involved in any lawsuits?:
Have you ever filed for bankruptcy protection?:
Yes No
Yes No
If yes, identify discharge date:
(MM/DD/YYYY)
Are you or anyone in your immediate family currently under any form of non-competition agreement that limits your right to operate any business?:
If yes, list name of employer and family relationship:
Yes No
Have you ever been convicted of a felony?:
Yes No

References
Name:
Relation of this person to you:
Years you have known this person:
Phone Number and Area Code:
Name:
Relation of this person to you:
Years you have known this person:
Phone Number and Area Code:
Name:
Relation of this person to you:
Years you have known this person:
Phone Number and Area Code:

Terms And Conditions

I understand that the granting of a franchise is at the sole discretion of the Franchisor (Bagel Bagel Cafe) I understand that the information I am receiving from Bagel Bagel Cafe, or from any Bagel Bagel Cafe associate, employee, agent, or franchise is highly confidential, has been developed with a great deal of effort and expense to Bagel Bagel Cafe, and is being made available to me because of this application, and will be held in strictest confidence.

I will not divulge or use any data, customer or employee names and addresses, techniques, methods, advertising materials, forms, or other information of whatever kind recceived from the Franchisor without consent. I authorize the procurement of an investigative consumer report and understand that it may contain information about my background, character, general reputation, mode of living, credit worthiness and job performance. I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I hereby release Bagel Bagel Cafe, its representatives, and their officers, agents, employees and servants from any liability arising from or relating to the preparation of this report or investigation relating thereto.

This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation and past performance. I authorize all persons, schools, companies, corporations, financial institutions, credit agencies and bureaus, courts, and law enforcement agencies to release such information without restriction or qualification to Bagel Bagel Cafe, its representative, or any of their officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization, and I here by release Bagel Bagel Cafe, and its representatives, and their officers, agents, employees, and servants, from any liability on account of the provision of such information or the use of such information in connection with this application. This authoriztion/release shall apply to this as well as any future request for an investigative consumer report by Bagel Bagel Cafe I authorize that a photocopy, electronic submission or facsimile of this release be considered as valid as the orginal.

I have read this application and everthing I have stated in it is true. Additionally, I understand the filing of this application does not obligate me the applicant to purchase or the franchisor to sell a franchise. I understand that the information provided by me will be relied upon by the Franchisor. I certify that the statements in this application are complete, and I have not withheld information affecting my reputation or credit standing.

Accept Terms
Yes No