FRANCHISE QUESTIONNAIRE

 
By filling out this Franchise Opportunity Questionare and submitting, you are giving consent to have your personal credit history reviewed by La Rosa Chicken and Grill holdings LLC.

Personal Information:

   
 
 
     
 
 

Bank References:

   
 
     
 
   
 
   
 
 

Company Information:

   
 
Legal from under which business operates:
Corporation    Partnership    Proprietorship   
 
 
 
 
 
       
 
 

Trade References:

   
 
   
 
   
 
   
 
   
 
   
 
   
 
 

2. A. Current job and position:

2. B. Prior employment:

3. Do you have any prior restaurant experience?

Yes No (If yes, please detail)

4. Do you currently own or have you previously owned a franchise business?

Yes No (If yes, please detail)

5. Have you ever been in a business venture and what was the outcome?

Yes No (If yes, please detail)

6. What area or territory would you like to operate in?

7. How did you learn about larosa chicken & grill?

8. How do you plan to capitalize your franchise investment?

9. How do you plan to manage your franchise store(s)? Do you intend to manage yourself or to hire a manager? Please explain.

10. Are you financially capable of making a investment of 400K and above?

11. Have you ever been subject to or convicted of any adminstrative, criminal or civil action alleging a violation of any franchise law, fraud, embezzlement, fraudulent conversion, restraint of trade, unfair or deceptive practices, misappropriation of proprty or comparable allegations?

Yes No (If yes, please detail)
12. Highest level of eduction achieved?

PERSONAL Information is subject to substantiation and verification upon acceptance as a franchisee candidate and prior to the dissemination of the franchise offering statement and will be kept in strict confidence.