Franchisee Application
Personal Detail:
*First Name
*Address Line 1
*Last Name
Address Line 2
*Contact Phone#
*Zip Code
*Email Address
*City
*State
* List all your skills revelant to restaurant business
If any other managerial experience, please explain
* Have you ever visited a Cluck-U Chicken store
If yes, which location:
select
 
Date of your last visit:
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* In the space provided, briefly state why you have selected food service and why you believe Cluck-U Chicken may be the right Franchise for you
*Amount of cash available for investment:
*Do you have a source of financing:
*What amount of financing do you believe you could qualify for?
Location Preference
*Do you intend to run this business yourself?
AUTHORIZATION:

I hereby authorize Cluck-U, Corp. and its agent(s) to thoroughly investigate my background, employment record, criminal record, credit history, and other matters related to my qualifications for a Cluck-U Chicken Franchise. I authorize any person, including my current employer (if applicable), previous employers, credit reporting agencies, or other reporting persons or organizations contacted by Cluck-U, Corp. to provide any relevant information regarding this application or my history.

I waive my rights under the Privacy Act, 5 U.S.C. 552a and similar state laws.
By submitting responses to this questionnaire, I agree that Cluck-U, Corp. many rely on my responses.

I understand that misrepresentation or omission of facts may result in rejection of my application. By typing my name and submitting this questionnaire, I agree to all the preceding terms.

 

 

*Name:
*Date:
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