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JAVA KAI FRANCHISE APPLICATION

To apply for a Hawaii's Java Kai franchise, please fill out the information below and submit the form for review. Mahalo!

 
PERSONAL INFORMATION
Full Name:
DOB:
Address:
City: State: Zip:
Home Phone: Work Phone:
Fax: Email:
SS#:
Marital: Single
Married
Number of Children: Ages
EDUCATION BACKGROUND

PROFESSION

EMPLOYMENT HISTORY (email resume if available)
Dates Company Position Nature of Business Annual Income

Any other business in which you are an owner, partner or officer?

May we contact you at work? Yes, best time to call:     No
Spouse's Profession ( Current employer / years):
Spouse's Employment History (Please list current employment first)
Dates Company Position Nature of Business Annual Income
PERSONAL BACKGROUND INFORMATION

Are you a U.S. citizen?
Yes No     If not, citizen of what country?

Have you ever failed in a business or filed bankruptcy?
Yes No     If yes, please explain:
Are there any lawsuits pending against you?
Yes No     If yes, please explain:
Have you ever been convicted of a felony?
Yes No     If yes, please explain:
Have you ever owned a franchised business?
Yes No     If yes, what business and when?
Have you ever visited a Hawaii's Java Kai?
Yes No    If yes, where?
Have you worked for Hawaii's Java Kai or any of our franchisees?
Yes No    If yes, where?
How did you find out about the Hawaii's Java Kai franchising program?
Why would you like to be a Hawaii's Java Kai franchisee?
Why do you think you would be a good Hawaii's Java Kai franchisee?
Do you intend to operate your franchise personally?
Yes, full-time Yes, part-time No
If not, who will be responsible for the daily operation of your Hawaii's Java Kai? (Please list names and addresses)
Are you interested in a multiple development territory?
Yes No Don't know
Do you or one of the participants intend to continue your current employment? (Multiple selections possible)
self spouse partner(s)
In what city do you want to open a Hawaii's Java Kai franchise?

1st choice:

2nd choice:
3rd choice:

Would this business be your sole source of income?
Yes No  

Amount of financing available for Investment:   $

I understand that the granting of a franchise is at the sole discretion of the franchisor, Hawaii's Java Kai.

I understand that any information I receive from the Franchisor or from any employee, agent or franchisee of the Franchisor, is highly confidential ("Confidential Information"), has been developed with a great deal of effort and expense to the Franchisor, and is being made available to me solely because of the application. I agree that I shall treat and maintain all Confidential Information as confidential, and I shall not, at anytime, without the express written consent of the board of directors of the Franchisor, disclose, publish, or divulge any Confidential Information to any person, firm, corporation or other entity, or use any Confidential Information, directly or indirectly, for my own benefit.

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 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 schools, companies, corporations, credit bureaus, and law enforcement agencies to release such information without restriction or qualification to a credit bureau or security consultant selected by the franchisor and Hawaii's Java Kai in other parts of the world, to any of the above named parties and any of their officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability for complying with this authorization. This authorization/release shall apply to this as well as any future request for an investigative consumer report by the above named firm. I agree that a photocopy, facsimile, printout, or other electronic copy of this release will be considered as valid as an original and my electronic submission of this form as valid as if I had affixed my written signature.

I have read this application and everything I have stated in it is true. Additionally, I understand that the information provided by me will be relied upon by the franchisor.