Franchise Form | Big Orange Bubble Tea

Big Orange

Personal Information First Name: Last Name: S.I.N: Date of Birth: (MM/DD/YYYY)

Address Address: City: Province: Postal Code:

Contact Information Email: Telephone (Home): Telephone (Office):

Spouse Name of Spouse: Age: Citizenship: Languages Spoken:

Education

High School

High School's Name: Last year completed secondary I-II-III-IV-V year:

Post Secondary

College/University: Major: Diploma Received: Year: Other Diplomas or Courses:

Business Experience (Work Experience and/or other Businesses)

Current Employment

Position: Company:

Address: Address 2:

In the past, have you managed a business and contributed to its advancement ? Yes No

Previous Employment Experience: (Indicate name, addresses and dates)

Dates, Description, Company Address

Date	Description	Company Address

Of your past work experience, which would you consider would most positively impact your success in a Big Orange operation?

Have you ever declared bankruptcy? Yes No If yes, explain:

Have you ever worked in:

The food industry? Yes No If yes, where:

The hotel industry? Yes No If yes, where:

The resturant industry? Yes No If yes, where:

References

Name	Phone	Address	Employer	Contact

May we contact these references today? Yes No

Personal Objectives What are your personal and financial objectives for the next three years?

Personal and Professional Objectives

What do you feel has been your most important realization?

What do you feel is your greatest strength?

What do you feel is your greatest weakness?

Store Management Do you plan to be active at store level on a full time basis? Yes No

If no, please explain in detail:

How do you intend to structure staffing and management at store level?

Territory and Desired Market

First Choice: Second Choice: Third Choice:

What is your projected time frame for realizing this project?

Personal Financial Balance Sheet

Assets	Liabilities
Cash in Bank$	Loans payable$
Stock and bond portfolio (non-real estate)$	Income taxes payable$
Accounts receivable$	Credit card loans$
Real estate assets$	Other debts$
Other Assets$
Total Assets$	Total Liabilities$

Net Value $

What will be your primary source of financing for this project?

Indicate the name of any bank or loan institutions where you have a loan and where you could obtain a credit margin and where we can verify credit history.

Name of institution:
Address:
Telephone:
Maximum authorized credit:
Do you own or have an interest in any other food related operation? Yes No If yes, explain:

Cash available for equity investment in franchise?

Annual income: Salary: $
Bonus/Comissions: $
Dividends/Interest: $
Other Sources: $ Specify:
Total: $

Partners Do you have other partners? Yes No

If yes, are they active partners? Yes No

Do you plan to have other investors? Yes No

If yes, specify:

Declaration

I certify that the information presented in this application is correct and complete. It is understood that the intention of obtaining this general information is not to bind the company or me to any agreement. Therefore, it is underlined that the information provided above is, to the best of my knowledge, accurate and that the company will use this information to evaluate my qualifications. I understand and acknowledge that this franchise application form does not give me any legal right or advantage in obtaining a franchise, specifically, the right to obtain a Big Orange franchise. I understand that acceptance or refusal of my application is at the company's entire discretion.

Big Orange

Think Big. Big Orange Franchise

High School

Post Secondary

Current Employment

Previous Employment Experience: (Indicate name, addresses and dates)

Have you ever worked in:

Personal and Professional Objectives

Territory and Desired Market

What will be your primary source of financing for this project?

Declaration

Locations available for franchise and Area developer opportunities

Delivery Parners

NOTICE OF TEMPORARY OFFICE CLOSURE – COVID-19 EFFECTIVE MONDAY MARCH 16, 2020

Now Hiring —Big Orange at Masonville Mall in London Ontario