Name

Telephone (Day)

Telephone (Home)

Telephone (Mobile)

Address

Email Address

Where did you hear about us?

When would you like to start running your business?

Post Code areas of interest?

Career Background
 

Have you run your own business before?

Current occupation / profession

Management Experience
 

(Please tick the relevant box to    rate your individual skills)

Motivation .............................................................................

Ambition ...............................................................................

Resilience .............................................................................

Sales ..................................................................................

Marketing ..............................................................................

Staff Management ..................................................................

Accounting / Finance .............................................................

Organisation ..........................................................................

Communication .....................................................................

Customer Care ......................................................................

Quality Control ......................................................................

Franchising ...........................................................................

Networking ............................................................................

Financial Information
 

Before borrowings, how much liquid capital do you have to invest?

Do you own a property?

How much equity do you have in your property?

Any other messages / Comments?