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First Name
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Last Name
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Home Phone
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Business Phone
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Preferred mailing Address
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City
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State
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Zip code
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Date of Birth
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E-Mail Address
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Have you ever been convicted of anything other than minor traffic violations? Are you involved in pending litigation?
(Max 512 char(s) allowed.)
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Have you or your spouse ever declared personal bankruptcy? Please explain.
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Of which country are you a citizen?
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Are you fluent in another language?
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No
If YES, which language?
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Last year of schooling completed
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Name of college and/or postgraduate school
Degree
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Occupational Field
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Position held
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Company Name
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Describe duties, number of employees supervised and responsibilities
(Max 512 char(s) allowed.)
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Have you ever owned your own business or franchise?
(Max 512 char(s) allowed.)
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Have you ever had a business failure?
(Max 512 char(s) allowed.)
*
Current salary, wages, bonus, commissions (in $s)
*
Current dividends, interest (in $s)
Other income from spouse (in $s)
*
Total assets (in $s)
*
Total liabilities (in $s)
*
Net worth (in $s)
*
Total non borrowed funds available to invest
Please make a selection
$125,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
Greater than $1,000,000
List any hobbies, community activities, special interests, or other pertinent information.
(Max 512 char(s) allowed.)
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Are you related by blood or marriage to any officer of McDonald's USA, LLC?
Yes
No
Relation's First Name
Relation's Last Name
Relationship
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Are you related by blood or marriage to any owner of a McDonald's franchise?
Yes
No
Relation's First Name
Relation's Last Name
Relationship
*
Are you or your employer providing products, goods or services to McDonald's or franchisees of McDonald's?
Yes
No
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Will you devote your full time to this business?
Yes
No
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Would you be willing to relocate for a restaurant opportunity?
Yes
No
*
Have you ever applied for a McDonald's franchise? If so, where and when?
(Max 512 char(s) allowed.)
Personal Reference (other than employers or relatives) First Name
Personal Reference Last Name
Personal Reference Address
Personal Reference Occupation
Personal Reference Telephone
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