Full Name
*
Email
*
Phone
*
Address
*
City
*
State
*
Zip Code
*
Current Employment - Company Name
*
Position
*
How long have you been working there?
*
Select one
0-1 year
1-5 years
5-10 years
Over 10 years
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How do you plan on running your business at the start?
*
Select one
Hiring folks to do the cleaning
I'm going to do the cleaning
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What amount of money do you have set aside and have made available to start your business with?
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Select one
$1,000
$2,500
$5,000
$10,000
$20,000
Other
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Are you interested in financing a portion of your investment?
*
Yes
No
What is driving you to consider starting a Commercial Cleaning business? Please select the option that is most important to you:
*
Select one
Income
Flexibility
Support
Opportunity
Stability
Scalability
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Are you a veteran?
*
Yes or No
Yes
No
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Do you have a valid driver's license?
*
Yes or No
Yes
No
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Do you have a working vehicle?
*
Yes or No
Yes
No
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How did you hear about JAN-PRO Cleaning & Disinfecting?
*
Referral
Google
Facebook
Website
Advertisement
Magazine
Others
Have you ever owned your own business before?
*
Yes
No
If Yes, please describe the business:
Have you ever looked at purchasing a Franchise before?
Yes
No
If Yes, what type of business was it?
Do you know what a royalty is?
Yes
No
Do you expect to be Full-time or Part-time in business?
Full Time
Part Time
Unsure
If you like the JAN-PRO Cleaning & Disinfecting Program, what is the earliest date you could start your business?
*
Have you ever been convicted of a felony?
*
Yes
No
If so, please explain
*
Do you have a Social Security Number or an I-10 Number?
Yes
No