UNDER CONSTRUCTION

DRIVER'S CHOICE
PROFESSIONAL DESIGNATED DRIVERS


 

Business Application

All information supplied in applications are strictly confidential and used only for the
purposes of dertermining the applicants suitablity for a Driver's Choice location.

1. PERSONAL INFORMATION
Name
Phone Home Work
Address
City Province
Postal Code
How long at current address?
Social Insurance No. Date and Place of Birth
Marital Status Spouse's Name
Dependant(s) Name and Age
Have you ever been convicted of a criminal offence?
Explain
Are you/have you ever been party to a civil litigation
Explain
Have you or any company you were associated ever gone bankrupt?
Explain

2. CURRENT & PREVIOUS EXPERIENCE: (starting with most current)
1) Company Name
Start Date Finish Date
Type of Business
Duties
Annual Salary Supervisor
Reason for leaving

2) Company Name
Start Date Finish Date
Type of Business
Duties
Annual Salary Supervisor
Reason for leaving

3) Company Name
Start Date Finish Date
Type of Business
Duties
Annual Salary Supervisor
Reason for leaving

3. OTHER BUSINESS INTERESTS
Have you ever had your own business or been self employed?
Details
What do you feel will be your most important contribution(s) to your business?


4. EDUCATIONAL BACKGROUND
Highest level of education attained:
Degrees
Major Subjects
Minor Subjects
Special Training
Courses Taken
What languages do you speak?

5. GENERAL INFORMATION
I became interested in this business opportunity because
List any hobbies, community activities, or special interests
If we select each other, my involvement would be:
Would you be willing to relocate?
My 1st Choice business location preference is:
My 2nd Choice business location preference is:
Have you ever worked in the Designated Driving Industry? If so give details

Are you related to anyone in the Designated Driving Industry? If so give details


6. FINANCIAL PROFILE
Present Income Spouse's Income Approximate Net Worth
I understand that any associates who cooperate with me in financing this business must also
complete a financial profile.
Will you have any partners or investers involved in this venture?
Are you a partner or invester in any other venture(s)?
What level of income do you wish to earn from the operation of your business
What is the minimum personal income you will need during your first year in business


7. PERSONAL REFERENCES (excluding relatives and former employees)
1) Name Phone No.
Address
2) Name Phone No.
Address
3) Name Phone No.
Address

FINACIAL INFORMATIOM

All applicants are required to provide the following information prior to approval of application. We do however understand the delicacy of this information and appreciate applicants not wanting to give this information unnecissarily. If you prefer not to answer questions #9 and #10 prior to receiving notifation that you are being given serious consideration as a possible candidate for your preferred Driver's Choice location, you may simply answer question #8 at this time.
8. If your application is approved, how much money would you have to invest in this opportunity without use of credit cards, line of credit or other forms of borrowing?
9. CREDIT REFERENCE
1) Company Name
Address
Phone No. Account No. Contact

2) Company Name
Address
Phone No. Account No. Contact

3) Company Name
Address
Phone No. Account No. Contact


10. BANK REFERENCES
Chequing Account No. Bank
Phone No. Branch
Savings Account No. Bank
Phone No. Branch