Online Application

Before submitting this application, please read Overview of the Application Process to familiarize yourself with the whole process. Note also that the purpose of this form is for general information only and is in no way binding upon either the Company or the applicant. All information you send to us will be kept strictly confidential.

Feel free to contact us for answers to your specific questions at any time!

It is understood that the purpose of this questionnaire is for general information and is in no way binding upon either the Company or the applicant. It is understood, however, that the applicant supplies the information contained herein to the best of his/her knowledge and ability and that the Company relies on this fact when assessing the desirability and qualifications of the applicant.

NOTE: This document and all other correspondence between the applicant and Candy Bouquet International, Inc. will be kept confidential.

SECTION 1: PERSONAL INFORMATION
Applicant Information
Name
Date of Birth
SS/S.I.N. #
Telephone Number
Cell Phone Number
Marital Status
Number of Children
Ages
Spouse Information
Name
Date of Birth
SS/S.I.N. #
Telephone Number
Cell Phone Number
Current Residence
Address
City
State/Province
Postal/Zip Code
County
Telephone Number
Fax Number
Other Information
Name(s) of prospective business partner(s)
I am a citizen of
Email Address
SECTION 2: EMPLOYMENT INFORMATION
Applicant Information
Current Employment Status Full-time Part-time
Self-employed Unemployed
Employer/Business Name
(if unemployed, state most recent employer)
Position Held
How long there?
Employer/Business Address
Annual Salary
Telephone Number
Spouse Information
Spouse's Current Employment Status Full-time Part-time
Self-employed Unemployed
Employer/Business Name
(if unemployed, state most recent employer)
Position Held
How long there?
Employer/Business Address
Annual Salary
Telephone Number
Financial Information
Amount in Applicants Cash Savings & Checking
Applicants net worth of Current Investments
Other sources of income in addition to the above
SECTION 3: EDUCATION AND EXPERIENCE
Applicant Information
High School Graduate Yes No
College Number of Years

Degree
Spouse Information
High School Graduate Yes No
College Number of Years

Degree
Other Information
Have you ever owned (or currently own) another business?
Yes No
The name of the business?
Are you a Veteran of the U.S. Armed Forces? Yes No
Are you 65 or older? Yes No
SECTION 4: BUSINESS INFORMATION
Where did you hear about Candy Bouquet?
Where do you want to locate a Candy Bouquet business?
What is your main motivation for wanting your own business?
If approved, how do you propose to finance the purchase and development of your Candy Bouquet franchise?
If you are awarded a Candy Bouquet franchise, how soon would you be available for training?
SECTION 5: LEGAL
Are you a defendant in any legal action?
Yes No
If yes, please explain
Have you had any judgments against you?
Yes No
If yes, please explain
Have you ever been convicted with a felony?
Yes No
If yes, please explain
Have you ever gone through a bankruptcy?
Yes No
If yes, please explain by indicating when and for what amount.
SECTION 6: CONFIRMATION
Choose one of the following:
By checking this box, I signify that I have read and agree to all of the above, have read and agree with the non-competition agreement
By checking this box, I signify that I have read and agree to all of the above, have read and agree with the non-competition agreement, and authorize Candy Bouquet International, Inc. to send a digital copy of the UFDD at no charge via email.
By checking this box, I signify that I have read and agree to all of the above, have read and agree with the non-competition agreement, and authorize Candy Bouquet International, Inc. to bill my credit card for the non-refundable $15.00 fee to mail a paper copy of the UFDD.
Enter the e-mail address that you would like the UFDD send to:
Franchise Representative's Name (if applicable):
You only need to include your credit card information if you would like a hard copy of the UFDD mailed to you.
Type of Credit Card:
No payment required if having UFDD sent by email
Visa
MasterCard
Discover
American Express
Name on Credit Card:
Credit Card Number:
Credit Card Expiration Date: