Franchise Application Form 1

  • Online Stepz Fitness Franchise Application Form:

    Section One

    If you are ready to proceed and wish to fast track your enquiry into the Stepz Fitness Franchise, you can complete this online application. Completing this application does not obligate you in anyway to investing in a Stepz Fitness Franchise.

    Name:
    Contact Number:
    In which area are you interested in being granted a franchise?

    Date of Application

    CURRENT/PROPOSED STRUCTURE

    (Please tick boxes where appropriate)
    Sole TraderPartnershipPty Ltd CompanyLtd Company

    Prospective Franchisee’s details
    (If the Prospective Franchisee is a company please complete the details below)

    ABN:

    Registered Address:

    Business Address:

    Fax No.

    (Please complete information below for all individuals (including Directors if the Prospective Franchisee has been listed as a company above)
    (If more than 2 insert typed sheets)

    Full Name:

    Position:
    Sole TraderPartnerDirector
    Private Address:

    Telephone:
    Home: Business:
    E-mail:
    Driver's License:
    Place of Issue:
    Date of Birth:
    Marital Status:

    If married, will spouse be active in the business

    % Ownership of Business:

    PROSPECTIVE FRANCHISEE'S DETAILS

    Other Directorships/Business Interests (name of company/business and address):

    How would you describe your health?
    GoodFairPoor

    Describe any impact your health may have on the business:

    Personal qualifications, degrees or diplomas:

    Formal training in sales, health/fitness or management:

    TRUSTS

    (If any Prospective Franchisees are the trustee of a Trust this section must be completed and a copy of the Trust
    Deed provided to Stepz Fitness)

    Name of Trust:

    Date Trust was established:

    Names of Beneficiaries/Unit Holders:

    Further Prospective Franchisee Information
    (Please complete information below for your advisors regarding this franchise)

    Accountant

    Name:

    Contact:

    Address:

    Tel #:

    Banker
    Name:

    Contact:

    Address:

    Tel #:

    Solicitor
    Name:

    Contact:

    Address:

    Tel #:

    PREVIOUS EMPLOYMENT HISTORY

    (Please complete information below for all individuals)

    1. Relevant Prospective
    Franchisee Name

    Occupation:

    Position:

    Company:

    Type of Business:

    Address:

    Contact Person:

    Tel #:

    Period of Employment:

    Commencement Date:

    Reason you left:

    Responsibilities:

    BUSINESS EXPERIENCE (if applicable)

    Provide details of existing or pastbusiness interests and list most recent first

    1.Do you currently have any active involvement or ownership in another business at the date of signing this
    application?
    YesNo

    2. Do you intend to retain your ownership / active involvement with the specified business(s)
    YesNo

    Business Details (if applicable)

    Trading Name:

    Trading Address:

    Nature of Business:

    Owners:

    Ownerships interest:

    Commencement Date:

    Date sold or interest ceased:

    REFERENCES

    Name:

    Tel #:

    Position:

    Company:

    Nature of reference (i.e. personal, employment,
    etc):

    CONVICTIONS AND LEGAL PROCEEDINGS

    Give details of any conviction against you personally, in any state or territory of Australia or elsewhere, under any legislation.

    Place and year of conviction:

    Type of offence:

    Penalty:

    Give details of any proceedings, whether they are of a legal or administrative nature of which you or any company of which you have been a director or shareholder has been subject, whether or not in Australia. Please specify:

    Name of Plaintiff:

    Name of Defendant:

    Year in which proceedings were issued:

    Year in which proceedings concluded:

    Subject matter of the proceedings:

    Nature of the judgement awarded for and against you and the quantum of that
    judgement:

    FINANCIAL BACKGROUND

    Are you, or have you ever been, bankrupt, the subject of a sequestration order or
    creditors’ petition, or had estate assigned for the benefit of creditors?
    YesNo

    If yes, give details including when discharged (if relevant)

    Are you, or have you ever been a director or shareholder of a company when it
    was placed under receivership, official management or administration, or in
    liquidation?
    YesNo

    If yes, give full details

    Are you, or have you ever been not creditworthy?
    (A person is not credit worthy when suppliers will no longer provide supplies on
    credit because of the person’s past record of bad payment of accounts.)
    YesNo

    If yes, give details including place and time

    Are you, or have you ever been, a director or shareholder of a company when it
    was not creditworthy?
    YesNo

    If yes, give details including place and time


    Section Two

    Household Income/Expenditure

    INCOME

    Total salary/wages:

    Bonus/commissions

    Dividends/interest

    Real estate income

    Other income (specify)



    EXPENDITURE


    Mortgage repayments

    Finance/loan repayments

    Credit card repayments

    Telephone/electricity

    School fees & expenses

    Rates and taxes

    Insurance

    Other expenditure (specify)

    Statement of Assets and Liabilities

    (Please provide details on the following asset verification schedules - schedule numbers in parenthesis)


    ASSETS

    Real Estate – current market value (1)

    Cash on Hand and in financial Institutions (2)

    Net value of business interests (3)

    Shares/bonds/debentures – current market value (4)

    Other assets (5)

    TOTAL ASSETS (A)

    LIABILITIES

    Real Estate & Mortgages (1)

    Notes/Loans payable to Financial Institutions (6)

    Loans payable to friends and relatives (6)

    Other debts and obligations (7)

    TOTAL LIABILITIES (B)

    NET WORTH (A)-(B) =

    Asset Verification Schedules

    (1) REAL ESTATE

    Address & description of Property (residential, rental, vacant)
    1)
    2)
    3)
    Date Acquired
    1)
    2)
    3)
    Title in name(s)
    1)
    2)
    3)

    Original Cost
    1)
    2)
    3)
    Original Mortgage Amount
    1)
    2)
    3)

    Monthly repayments
    1)
    2)
    3)
    Current Market Value
    1)
    2)
    3)
    Current Mortgage Balance
    1)
    2)
    3)
    Net Value
    1)
    2)
    3)

    (2) CASH ON HAND AND IN FINANCIAL INSTITUTIONS

    Name of Financial Institution
    1)
    2)
    3)

    Description of Deposit
    1)
    2)
    3)

    Amount
    1)
    2)
    3)

    Maturity
    1)
    2)
    3)


    (3) BUSINESS INTEREST
    Name of Business

    Description

    Type Partnership Corp. Sole

    Name of all owners

    Relation to Applicant

    % Equity

    Valuation Method

    Net Value



    (4) LISTED SECURITIES

    No. of Shares

    Description

    Current Market Value



    BONDS/ DEBENTURES

    No.

    Description

    Face Value

    Current Market Value

    (5) OTHER ASSETS
    (e.g. stock options, cash value of life insurance, automobiles and other personal
    property etc).

    Description

    Current Fair Market Value



    (6) LOANS/NOTES/ACCOUNTS PAYABLE (excluding mortgages)

    Lender

    Relation to Applicant

    Nature of debt

    Secured yes/no

    Maturity Date

    Original Face Value

    Monthly Repayments

    Interest Rate

    Present Balance


    Section Three

    General Enquiry by Stepz Fitness

    Why do you want to buy a Stepz Fitness franchise, and in particular what features
    of this franchise have attracted you?

    How do you intend to fund the purchase of a Stepz Fitness franchise?

    Why do you believe you are suited to operating a Stepz Fitness franchise?

    Have you ever owned or worked in a business similar to the proposed Stepz
    Fitness franchise?

    If yes, please provide details of the business (name, address, telephone):

    Are you prepared to sacrifice holidays to which you may have become accustomeduntil you have established your business and level of training to the satisfaction of Stepz Fitness?

    Why do you want to go into business?

    Are you prepared to comply with the procedures and controls set by Stepz
    Fitness?

    How many years do you intend to operate the business?

    Do you appreciate that nobody can predict the future of the business, regardless of the track record of the franchisor?

    Why do you think you will be successful?

    What qualities do you have that you believe are valuable if you became part of
    Stepz Fitness franchise network?

    Will you devote your full time to the business?

    If yes, how many hours per day, days per week?

    If no, please state how you propose to operate the business:

    Do you have the personal capacity to handle business problems if they arise?

    Do you have the support of your family in what you are doing?

    Are members of your family going to be involved in the business from the
    commencement or in cases where the need arises?

    If yes, who are they, and what are their ages, business experience and/or
    academic qualifications?

    What are your main strengths?

    What are your main weaknesses?

    What factors of the past have contributed most to your own development?

    Do you know what a franchise is? Explain:

    Explain the nature of the franchisor/franchisee relationship:

    Are you comfortable with the idea of working in co-operation with Stepz Fitness,
    and do you accept that a number of disciplines exist in a franchise system, in
    particular working under the direction and guidance of the franchisor?

    Do you know that a franchise is only granted for a defined period at the end of
    which the franchisor is not obliged to renew unless there is an express provision
    for renewal in the Franchise Agreement?

    As well as obtaining legal, accounting and financial advice with respect to the
    Franchise Agreement, do you intend to read it yourself?

    Are you aware certain information provided and/or advised to you is confidential
    and shall not be divulged to any third person unless Stepz Fitness gives its prior
    approval?

    Please advise what representations have been made to you and by whom?

    Do you understand that you must make your own enquiries and get your own
    advice when considering this business opportunity?

    How would you cope with unexpected losses, as the business is building and any
    other setbacks?

    What else do you think we should know about to understand you better and to
    better determine what your association with us could mean?