The purpose of this Request For Consideration (RFC) form is to provide general information to help us evaluate your qualifications as a potential FasTracKids Franchisee, Harmony Road Franchise, MapleBear Franchise
This is not an application. Should you qualify and a mutual interest develops, we will request additional information. Please type the information requested in the boxes below.

Personal Data
Name: *
Street Address:
Years at this residence:
City:
State:
Zip:
Country:
Business Phone:*
Home Phone:*
Best Time to Call:
Email Address:*
Age:
Marital Status:
Spouse Name:
Number of Dependents:
Dependent Ages:
Business Data
How did you become aware of this franchise opportunity (e.g. newspaper ad, trade show)?
Your Business Experience
Present most recent position. (Please list company name, type of business, position held, dates positions held, and your most significant accomplishments.)
Occupation:
How long:
Employed by:
Previous position:
Have you been convicted of a felony/crime?	Yes    No
Have you every owned a business?	Yes    No
Did it fail?	Yes    No
What type of business was it?*
Did you have the time necessary?*
Other business affiliations (Officer, directory, partner, etc.)?
Your business and management goals?*
Do you have any experience in sales and/or marketing?	Yes    No
If yes, please explain How do you rate your sales ability/interest?	Weak Average Strong Very Strong
Will your spouse be active in the franchise?	Yes    No
Do you plan to have any equity partners?	Yes    No
If "Yes," please identify all potential partners below:
Name:
Active in franchise?	Yes    No
Address:
Phone number:
Name:
Active in franchise?	Yes    No
Address:
Phone number:
Name:
Active in franchise?	Yes    No
Address:
Phone number:
Name:
Active in franchise?	Yes    No
Address:
Phone number:
Your business location preference (city):
First choice:
Second choice:
Preliminary Financial Information
Real Estate	Mortage
Auto	Notes Due Banks
Stocks	Notes Due Others
Bonds	Auto Loan
Other	Other
Cash
TOTAL ASSETS:
TOTAL LIABILITIES:
NET WORTH:
What is your current annual income for your household?
If you were to proceed with this investment, would you have to finance any portion?	Yes    No
If so, how much?
What source of financing do you have in mind?
Other:
Other Information
Do you currently operate a school or preschool?	Yes    No
If "Yes," please list the program's name, address and phone number:
Why do you believe you can successfully operate a children's education business?
How will the FasTracKids franchise opportunity help you reach you business & personal goals?
Additional information or comments that you might like to share with us in evaluating your request for consideration:
Security check *	Enter Code*: