FRANCHISE

The name of your sponsor:*

First and last name:*

Home adress:*

Phone number:*

E-mail:*

Birth date:*

Sex:* Sex:*ManWoman

Civil status:

Immigration status:*

First three digits of your social insurance number:*

Do you hold a valid drivers license?:* Do you hold a valid drivers license?:*YesNo

Have you ever been convicted of a criminal offense?:* Have you ever been convicted of a criminal offense?:*YesNo

Spoken languages:* Spoken languages:* French English Other

Level of education completed:*

Work experience:*

Have you previously worked in the cleaning industry?:* Have you previously worked in the cleaning industry?:*YesNo

Which franchise have you chosen to purchase?:* Which franchise have you chosen to purchase?:*MRGM TS

Please indicate which areas by most desired to least you wish to work in?:*

When are you available to start work?:*

Are you affiliated or have interest in any other cleaning services company?:* Are you affiliated or have interest in any other cleaning services company?:*YesNo

Do you plan to have an associate in order to aquire the franchise?: (If yes, please have your associate fill out his/her own form)* Do you plan to have an associate in order to aquire the franchise?: (If yes, please have your associate fill out his/her own form)*YesNo

First and last name of your associate: (If any)

Are you related to your associate?: (if any) Are you related to your associate?: (if any)YesNo

In short, please indicate the reasons you are interested in purchasing a franchise with Menage-Pro:*

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