Full Name	*
Age	*
Spouse Name
Age
Home Address	*
City	*
Province/State	*
Postal/Zip Code	*
Work/Day Phone	*
Home/Evening Phone	*
Fax
Best time to call
Number of children/ dependents	0 1 2 3 4 5 6 7 8 9 10+
State of Health
Self	Excellent Good Fair Other  *
Spouse	Excellent Good Fair Other
* Required Fields
All information and photos are copyrighted by Goodbye Graffiti Inc.™ © This site does not constitute an offer to franchise. Any potential franchise governed by the laws of Alberta or Ontario will be the subject of a disclosure document which will be given to a prospective franchisee at least 14 days before franchise documents are signed or any initial fees are paid.

Level of Education
Self	9 10 11 12 College University *
Spouse	9 10 11 12 College University
License Information
Driver's License #	*
Driver's License Class	*
Hazardous Materials Certified?	Yes No *
License ever cancelled/suspended?	Yes No *
(if yes, explain)
Character References
Name Address/Phone Years Known 1.  * 2.  * 3.  *
* Required Fields
All information and photos are copyrighted by Goodbye Graffiti Inc.™ © This site does not constitute an offer to franchise. Any potential franchise governed by the laws of Alberta or Ontario will be the subject of a disclosure document which will be given to a prospective franchisee at least 14 days before franchise documents are signed or any initial fees are paid.

Employment & Business History
Are You Self-Employed?	Yes No *
(if yes, explain - please include all relevant information about your business)
Have you ever had a business failure?	Yes No *
(if yes, explain)
Employment Record (Self)
Current/Most Recent Firm	*
Address	*
City	*
Province/State	*
Present/Most Recent Salary	*
Starting Year	*
Work Description	*
Employment Record (Spouse)
Current/Most Recent Firm
Address
City
Province/State
Present/Most Recent Salary
Starting Year
Work Description
Previous Business Experience
Dates Employed -
From Date	*
To Date	*
Position	*
Company Name	*
Type of Business	*
Address	*
City	*
Province/State	*
Name of Supervisor	*
Responsibilities	*
Reason for Leaving	*
* Required Fields
All information and photos are copyrighted by Goodbye Graffiti Inc.™ © This site does not constitute an offer to franchise. Any potential franchise governed by the laws of Alberta or Ontario will be the subject of a disclosure document which will be given to a prospective franchisee at least 14 days before franchise documents are signed or any initial fees are paid.

Personal Finances
Salary, Wages	*
Bonus, Commissions	*
Dividends, Interest	*
Real Estate Income	*
Business Profits	*
Notes, Accounts Receivable	*
Other Income (Specify Kind)	*
Total Per Annum	*
Assets
Cash On Hand - Bank	*
Real Estate	*
Vested Profit Share	*
Securities	*
Bonds/Debentures	*
Notes/Mort. Rec.	*
Other (Specify Kind)	*
Total Assets	* [A$]
Liabilities
Notes, Loans, Payable - Bank	*
Notes, Loans, Payable - Friends	*
Notes, Loans, Payable - Relatives	*
Accounts & Bills Due	*
Real Estate Mortgages	*
Other Debts (Specify)	*
Total Liabilities	* [B$]
Summary
Net Worth	* [C$ = A$ + B$]
Total Liabilities & Net Worth	* [= B$ + C$]
Funds, Investors, & Partners
Funds Available for Investment in This Business	*
If additional funds are required for this business, are they available to you?	Yes No *
If so, explain
Do you plan to have a partner?	Yes No *
If so, will the partner be active?	Yes No
Please give us the partner's information
Do you plan to have investors?	Yes No *
If so, to what extent?
Do you plan to have your partner (and/or investors) own (and/or contribute to) more than 10% of the business?	Yes No If so, please copy this link to each of them and have each of them fill out this form.
Credit Companies
Name Address/Phone Highest Credit Purpose 1.  * 2.  * 3.  *
* Required Fields
All information and photos are copyrighted by Goodbye Graffiti Inc.™ © This site does not constitute an offer to franchise. Any potential franchise governed by the laws of Alberta or Ontario will be the subject of a disclosure document which will be given to a prospective franchisee at least 14 days before franchise documents are signed or any initial fees are paid.

How did you become interested in Goodbye Graffiti™ Inc.?	*
From what source did you hear about us?	*
Which territories are you interested in?	1. * 2. * 3. *
When did you want to open a franchise?	*
Have you ever been involved in the graffiti removal or power washing industry before?	Yes No *
If yes, which company/companies?
What are your reasons for starting your own business?	*
What are some questions you have concerning owning your own business?	*
Complete the following in your own words: "As I consider my experience and abilities, I am confident that I can successfully operate a Goodbye Graffiti™ Inc. franchise because..."	*
Further comments/questions
* Required Fields
All information and photos are copyrighted by Goodbye Graffiti Inc.™ © This site does not constitute an offer to franchise. Any potential franchise governed by the laws of Alberta or Ontario will be the subject of a disclosure document which will be given to a prospective franchisee at least 14 days before franchise documents are signed or any initial fees are paid.

I certify that the above information is complete and accurate. I submit the following information as my complete and true personal and financial condition of the date shown below. Goodbye Graffiti™ Inc. is authorized to contact any appropriate third party or credit agencies to verify the accuracy of the information submitted herein and to retain such information for its records. If requested by Goodbye Graffiti™ Inc., I agree to supply statements verifying the above assets from any professional advisor (i.e. banker, broker, accountant or attorney).
I agree I do not agree *
Current E-mail Address	*
* Required Fields
All information and photos are copyrighted by Goodbye Graffiti Inc.™ © This site does not constitute an offer to franchise. Any potential franchise governed by the laws of Alberta or Ontario will be the subject of a disclosure document which will be given to a prospective franchisee at least 14 days before franchise documents are signed or any initial fees are paid.