Describe any training in sales, management, or retail:
Do you intend to devote yourself full-time to the day-to-day operation
of a Smiling Moose Deli franchise?
If not, provide explanation and details how you will oversee the business:
Have you (and, if applicable, partners, officers, directors or shareholders)
been subject to or convicted of any administrative, criminal or civil
action or offense?
If yes, explain:
I hereby attest to the accuracy of the information contained in this confidential
Smiling Moose Deli application. I authorize Smiling
Moose Deli or its agents
to verify the data submitted, to obtain a consumer credit report and to make
such additional credit, background, criminal
or character confirmation which it deems necessary or advisable.
In connection with these financial and background investigations, I authorize
Smiling Moose Deli, Inc. or its agents to contact present or past employers,
schools, financial institutions, law enforcement agencies and any other person,
firm corporation or source. I authorize any such source to provide Smiling
Moose Deli, Inc. or its agents all information concerning me, and I hereby
release any such source and its agents and employees from all liability for
providing this information. I understand such reports may contain information
concerning my education, employment, work habits, character or skill, criminal
and credit history.
I authorize that any photocopy or facsimile of this document may be accepted
with the same authority as the original. THIS COPY WILL NEED TO BE REWRITTEN
FOR ELECTRONIC DISTRIBUTION.
Smiling Moose Deli agrees to maintain in a confidential manner and restrict
the use of any information contained or obtained in connection with this
application for a Smiling Moose Deli franchise. I authorize Smiling
Moose Deli, Inc. to release to prospective financing sources any information concerning
me that may be requested by them.
By checking this box, I certify that the above statements
are accurate. THIS COPY WILL NEED TO BE REVIEWED BY AN ATTORNEY.