DIGIKIDS - Helping Parents Protect Their Children
 
 

Franchise Application

This is the first step in applying for a DIGIKIDS® franchise. It will help us determine whether DIGIKIDS® is the right business for you, and assist us in our efforts to award franchise territories to candidates that meet only the highest standards.

So as not to delay your application, please be sure to answer all questions, electronically sign at the bottom and then 'Submit'. If you have any questions or need help, please contact us at 1-888-DIGIKIDS (344-4543) Ext 1.

All information you provide is held in the strictest confidence.

Personal Profile
First Name
Last Name
Birth Date
Current Address
City
State
Zip
How Long?
Home Phone  
Best Time:

Other Phone

  

Best Time:

Email Address

Marital Status

Vehicle Owned
Year/Make/Model
Please list residential addresses past 7 years:
(If different than above)
   

Employment Information

Current or Last Employer

How Long?

Annual Salary
Address
City
State
Zip

Position or Duties

Financial Information

Assets

Liabilities

Cash on Hand & in Banks

Notes Due to Banks
Notes & Accounts Receivable Notes Due to Others
Assets Readily Convertible to Cash Accounts & Bills Payable
Real Estate Owned Real Estate Mortgages Payable
Personal Property Unpaid Taxes
Automobiles Liens & Assessments Payable
Other Assets Other Liabilities

Total Assets

Total Liabilities
   

Net Worth
(Assets minus Liabilities)
   

Total Liabilities & Net Worth

Personal References
Please include three (3) personal references including Name, City, State and Telephone Number

General Information
Have you ever been convicted of, or plead 'no contest' to a felony?
  No       Yes
How much time will you have to devote to your new business?
(If part time, please explain below)
  Full Time       Part Time

Do you have any child safety ID or other experience working with children?
(Not required, but if 'yes', please explain below)
 

No       Yes

Have you ever been in business for yourself?
(Not required, but if 'yes', please explain below)
  No       Yes

Do you have any special computer, software or programming skills?
(Not required, but if 'yes', please explain below)
  No       Yes

Areas You Are Primarily Interested In
Please list your first three (3) choices by City, State and County or Counties

Source of Income
Please tell us your source of income during the start up phase of your new business.

Are you interested in developing multiple territories?
When would you like to start your new business?

Anything Else You Would Like Us To Know?
Such as family business history, personal objectives, other business ventures, etc.

Thank you for taking the time to complete our questionnaire. Please read the information below and electronically sign your name between forward slashes i.e. /John Smith/ and then hit 'Submit'.

ALL INFORMATION PROVIDED IS A TRUE AND CORRECT REPRESENTATION OF MY PERSONAL AND FINANCIAL CONDITION. I UNDERSTAND THAT COMPLETION OF THIS QUESTIONNAIRE DOES NOT CREATE AN OBLIGATION ON BEHALF OF EITHER PARTY, AND THAT I MUST SUBMIT TO AND PASS A CRIMINAL BACKGROUND CHECK TO QUALIFY FOR A DIGIKIDS® FRANCHISE. FRANCHISE TERRITORIES OFFERED BY PROSPECTUS ONLY.
     

Print Name

  
Sign Name Example: /John Smith/
 Date  

Today's Date:

  

Print This Page

Top of Page