Entrepreneur magazine's Franchise 500
Interquest Detection Canines®
The nation's recognized source for drug dogs and canine detection.
Few things in life are more rewarding than working for yourself with an unlimited income potential.

If becoming an Interquest franchise owner appeals to you, please fill out this Preliminary Information Form and submit it to us via our secure server, and we will forward additional information for your review and consideration.

Keep in mind this application does not constitute a franchise offering.

For more information about owning an Interquest franchise, please e-mail us at interq@interquestfranchise.com.

Or us call 1-800-481-7768. We look forward to hearing from you.
Preliminary Information
Date:    
Full Name: Age:
Spouse's Name: Age:
Home Phone: Work Phone:
Best Time To Call:  
Address Line 1: Address Line 2:
City: State:
Zip Code:
Single     Married     Divorced
Children Ages:     1.     2.     3.     4.
Any Health Problems: Yes     No Explain:
Desired Franchise Area (city/state):
Second Choice (city/state):
Education —
School:
City: State:
Last Year Completed: Last Year Attended:
Major: Degree:
High School 9 10 11 12 College 1 2 3 4
Graduate School     1 2 3 4
Employment History —
Uses spaces below to list employment history within the past five years, starting with the most current.
Company 1: Dates:
Address: Position:
Income:

Company 2:

Dates:
Address: Position:
Income:



Company 3: Dates:
Address: Position:
Income:
CONFIDENTIAL
Financial Information —
ASSETS:
Checking and Savings $
Stocks and Bonds $
Real Estate Owned(Home) $
Real Estate Owned(Other) $
Other Assets $
$
$
$
Total Assets $
Net Worth: $
LIABILITIES:
Notes Payable - Banks $
Notes Payable - Others $
Mortgages Payable(Home) $
Mortgages Payable(Other) $
Other $
$
$
$
Total Liabilities: $
Total Liabilities/Net Worth: $
Explanations —
Other Sources of Income:
Will you finance this venture by
Cash or Loan? 		If a loan, what is the collateral?
If borrowed from an individual, give name, address and occupation:
REFERENCES —
Personal Reference:
Name: Occupation:
Address: Phone Number:
Credit Reference:
Name: Type:
Account: Address:
Phone Number
OTHER —
Have you ever owned or do you presently own a business? Yes No

If yes, please give details:


Have you ever made an application for a bond which was refused: Yes No

Have you ever filed for bankruptcy, had a real estate loan foreclosed, or had any liens against you? Yes No

If so, Please Explain:


Have you ever been or are you now a party to any lawsuits? Yes No

If so, Please Explain:


Have you ever been convicted of any offense?
Including traffic violations for which you where fined $50 or more? Yes No

If so, Please explain in full, including date, charge, place, under what name, and action taken.

You must agree to the following before submitting this form, also please sign the form with your e-mail address:

I understand that the information provided is confidential and affirm that it is true to the best of my knowledge. I understand that providing this information does not obligate me to purchase a franchise, nor does it obligate the franchiser to offer a franchise to me.

I AGREE I DISAGREE

E-Mail Address: