Home
Opportunities | Market | Advantages | Support | Testimonials | Territories | Owning a Franchise | FAQ | Request Info
Services
REQUEST INFORMATION - LET‘S GO!

Free Franchise Information Package

Because of the large volume of inquiries we receive, only those individuals who complete this Confidential Franchise Application Form will be sent our comprehensive franchise package.

Confidential Franchise Application Form

Contact Information: * Information required to process form.
* First Name:  * Last Name:
Applicant:      * Home Phone:
Spouse:   Business Phone:
* Address:   Mobile Phone:
  * E-Mail:
  Best Time to Call:
* City:   Please contact me by:


* Country:
* County:  
* Zip/Postcode:  
 
How did you hear about us? (Please select from following list) 
 
What is your interest level?
 
 
Personal Information:
Your Health:
Please Explain:
Social Security Number:
Number of Dependents and Ages:
Qualifications:
 
Employment/Business History:
Current or Last Employer/Business:   Position: 
Address:
City:
County:
Zip/Postcode:
Business Phone:
Fax:
Can You be Called at This Business Address Location?
How Long Have You Been With Your Current/Prior Employer/Business?
 
ComForcare Senior Services Franchise Specific Questions:
Have you ever owned your own Business?
If Yes, What type/how long?
What Personal or business experiences do you have that would assist you in running your own business?
Why do you feel you would be good at owning and operating a ComForcare franchised office?
Would you be available to operate the business on a full time basis?
If No, Who would run the business?
Describe the business and personal background of the alternative manager of the business.
If you operated and managed the business yourself, how many hours per week would you be willing to invest into your own business the first year to insure the business gets the proper start that it needs?
If you did not operate and manage the business, how many hours per week would you make available for assistance, secondary or backup processing and consultation?
In what city or county would you like to open and operate your ComForcare Senior Services business?
First Choice:
Second Choice:
By what date would you like to begin operating your new business?
How much capital do you currently have available to invest in a franchise?
Have You Considered Other Types of Franchise?
If Yes, What type?
Have you Ever Cared For an Elderly Person?
If yes, please provide details
ComForcare Senior Services invites you to attend a Free Corporate Visit. Please reserve    for me to attend. Visits are scheduled monthly and I would tentatively like to attend sometime within the next
 
Why did you investigate the elderly care market for your own business?
 
Additional Personal/Business History:
Have you Declared Bankruptcy in the last 15 years?
If yes, please provide details
Have You Ever Been Convicted of a Crime?
If yes, please provide details
Do You Have any pending litigations against you?
If yes, please provide details
Any Litigations Pending Against Others?
If yes, please provide details
 
Personal References, excluding family or subordinates:
(References will not be called until after a discussion with you)
First Reference:
Name: Years known:
Relationship: Phone Number:
Address:
 
Second Reference:
Name: Years known:
Relationship: Phone Number:
Address:
 
Third Reference:
Name: Years known:
Relationship: Phone Number:
Address:
 
I understand that the acceptance of this Franchise Application by ComForcare Senior Services or any of its affiliates does not constitute the grant of a franchise. I understand that ComForcare Senior Services grants franchises only by executing written franchise agreements. By submitting this application, I authorize ComForcare Senior Services and its assigns to start an investigative consumer report (including information regarding my character, general reputation, personal characteristics and mode of living) and credit investigations based on the information voluntarily provided by me and warrant that all information provided is true and accurate. I understand that I have a right to request that ComForcare Senior Services make a complete and accurate disclosure of the nature and scope of such investigation. ComForcare Senior Services may obtain my credit report in connection with this application. This is my authorization to credit reporting agencies, bank(s), creditors, and suppliers to release to ComForcare Senior Services, and to ComForcare Senior Services to release to such parties, all information requested regarding my depository, loan or other credit information including, without limitation, financial information, by telephone or in writing as part of the normal credit evaluation process. I release my bank(s), creditors, suppliers and ComForcare Senior Services from all liability with respect to the release of any such requested information. Authorization is granted to use photo or fax copies of my signature to obtain information. If I am requesting that ComForcare Senior Services make a credit determination based on my credit worthiness combined with any co-applicants, I authorize ComForcare Senior Services to discuss any derogatory credit items with such co-applicants. I understand that ComForcare Senior Services may at any time, require that I sign an updated application or provide updated information.
I accept the above terms*  
If you do not accept the above terms,
your application will not be fully processed.
 
Privacy Statement: ComForcare Senior Services will not sell or rent your non-public information to anyone.