Muddy Boots Franchise

Your Full Name (required)

Your Address (required)

Postcode (required)

Home Phone

Mobile (required)

Email Address (required)

Health Status (Do you have any ongoing or recurring medical issues that may impact the business?) (required)
YESNO

Marital status
SingleMarriedDivorced

Do you have any dependents?(required)
YESNO

Hobbies and Interests (required)

Employment details over the last 5 Years (attach CV if available) (required)

Do you have a current driving licence? (required)
YESNO

Have you ever owned a business? If so what type and what was your role? (required)

Have you ever been involved in a business that has failed/ceased trading? (required)
YESNO

If you answered yes please give some brief details.

Do you have any criminal convictions (other than driving offences)? (required)
YESNO

Credit rating – Have you ever been declared bankrupt/arranged a voluntary arrangement/have any County Court Judgements or any other issues that have a negative impact on your credit rating and ability to raise finance/gain credit? (required)
YESNO

How much capital do you have to invest in a business? (required)

When do you wish to start your business? (required)
As soon as possible+3 months+6 months+10 months

Confidentiality and Non-Disclosure
I acknowledge that Muddy Boots Sleepovers will use this information to gain a picture of myself and potential suitability as a franchisee and I warrant that the information provided is honest and accurate and that in the event that it is found not to be then Muddy Boots Sleepovers would have the right to withdraw from any business arrangements entered into. I also acknowledge that as part of the recruitment process I will be provided with confidential business information in which Muddy Boots Sleepovers has a propriety interest in maintaining the confidentiality of the Information provided, and therefore by completing this questionnaire I agree that I will not disclose, use, or permit the use of the Confidential Information for any purpose except to evaluate the Muddy Boots Sleepovers franchise for myself. I give my consent for my data to be held by the company as part of their legitimate business interest for a reasonable period of time or until I request it’s removal.

Name (required)

Date (required)

When completed this shall be deemed to be signed as an electronic signature

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