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.
In which area are you interested in being granted a franchise?
Date of Application
(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)
(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)
Place of Issue:
Date of Birth:
If married, will spouse be active in the business
% Ownership of Business:
Other Directorships/Business Interests (name of company/business and address):
How would you describe your health?
Describe any impact your health may have on the business:
Personal qualifications, degrees or diplomas:
Formal training in sales, health/fitness or management:
(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)
(Please complete information below for all individuals)
1. Relevant Prospective
Type of Business:
Period of Employment:
Reason you left:
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
2. Do you intend to retain your ownership / active involvement with the specified business(s)
Business Details (if applicable)
Nature of Business:
Date sold or interest ceased:
Nature of reference (i.e. personal, employment,
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:
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
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?
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
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.)
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?
Real estate income
Other income (specify)
Credit card repayments
School fees & expenses
Rates and taxes
Other expenditure (specify)
(Please provide details on the following asset verification schedules - schedule numbers in parenthesis)
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)
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) =
(1) REAL ESTATE
Address & description of Property (residential, rental, vacant)
Title in name(s)
Original Mortgage Amount
Current Market Value
Current Mortgage Balance
(2) CASH ON HAND AND IN FINANCIAL INSTITUTIONS
Name of Financial Institution
Description of Deposit
(3) BUSINESS INTEREST
Name of Business
Type Partnership Corp. Sole
Name of all owners
Relation to Applicant
(4) LISTED SECURITIES
No. of Shares
Current Market Value
Current Market Value
(5) OTHER ASSETS
(e.g. stock options, cash value of life insurance, automobiles and other personal
Current Fair Market Value
(6) LOANS/NOTES/ACCOUNTS PAYABLE (excluding mortgages)
Relation to Applicant
Nature of debt
Original Face Value
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
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
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
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
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
What else do you think we should know about to understand you better and to
better determine what your association with us could mean?