Detailed Application
NOTE: Application does not save.  Please complete application at one time.

If you are applying with your spouse or a partner, an application must be submitted separately for each applicant.
* Email
* Are you submitting this application with your spouse or with a partner?
If yes, please provide the full name of the applicant:
  First:
 Middle:
 Last:
Applicant's Personal Information
* Full Name First:
 Middle:
 Last:
* Other Names used by Applicant (Maiden or other aliases)
* Date of Birth
* Social Security Number
* Driver License Number
* State of Issuance
* Current Residence
Address:
 City:
 State:
 Zip:
* How long at this residence
* Monthly Rent or Mortgage Amount
* Do you own this residence?
If no, Please provide the landlord's Name and Phone Number:
 
* Previous Residence
* Dates at this residence
* Monthly Rent or Mortgage Payment Amount $:
* Previous Residence
* Monthly Rent or Mortgage Payment Amount $:
Family Information
* Are you married, single or divorced:
Spouse Full Name First:
 Middle:
 Last:
Names and Ages of children. You MUST enter the child's first name for the child to be added.
Birthdate Must be filled out entirely for each child you add.
First Name: Last Name: Birthdate:
First Name: Last Name: Birthdate:
First Name: Last Name: Birthdate:
First Name: Last Name: Birthdate:
First Name: Last Name: Birthdate:
First Name: Last Name: Birthdate:
Do your children Stay at home with you or attend regular school? (If in school, please describe hours in school.)
Education History
  School Name and Address Years Attended Degree
High School
College
Additional Education
Personal Record Information
* Have you ever been convicted
or charged with a crime?		 If yes, please describe the details of the incident (dates, county, disposition etc.):
* Have you ever filed bankruptcy? If so, please provide the following: 
  Month/Year:
City/State:
County:
* Have you ever been defendant
or plaintiff in a lawsuit?
If yes, please describe the details of the lawsuit (dates, county, disposition etc.):
Financial Informationn
* What percentage of the business will you own?
* Current Total Household Income:
* Summary of Total Assets:
* Summary of Current Liabilities:
* Summary of your Financial Statement for most recent two years, identifying that you are financially qualified to own a SeekingSitters franchise.
Business and Employment Information
Please describe your most recent work history.  Current employer (if applicable) should be listed as most recent:
Name of Company Title in Business Percent Owned % Years Employed
List other businesses that you currently or previously have an interest in:
Name of Business Title in Business Percent Owned % Years Owned
 
* Please describe how these businesses or work history has provided you the experience to operate a franchise.  Be as detailed as possible describing skills and qualities that you possess that would assist in your business operation:
Health Information
* Describe any physical or mental disabilities or limitations that would affect your ability to operate your franchise?
General Information
* Please describe your current or past need and solution for childcare and your ideas to improve and enhance babysitting experiences for your children.  Be as detailed as possible.
* Are you involved in your community? If so, in what capacity? (Example: Mom's Groups, PTA, Junior League, Business Organizations etc.)
* General description of your five-year business plan and reasons why you want to own and operate a SeekingSitters Franchise.  Please be specific as to who will be operating different parts of the business and whether it will be a sole operation, with a spouse or partner or managed by an outside party.
Please upload the following required documents:
Photo of yourself and your family.
Current bank letter of reference.
Letter of reference supporting credit worthiness and business experience.
Declaration
The above information has been provided to the best of my knowledge to be true and correct. I authorize SeekingSitters to access my background information which includes but is not limited to criminal records, examination of TransUnion employment credit report under your name and Social Security Number (in accordance with the Fair Credit Reporting Act), driver record history, employment records and national public records. I understand that a background investigation will be performed of all parties applying for franchise ownership consideration and that consideration for a franchise will be based on the outcome of the background investigation. I understand that all information provided to SeekingSitters as well as identified through the background screening process will be kept confidential and not shared with any other parties.
* Signature by Applicant
Sign this form by providing your name with the unique mark / before and after your name. Example: /Mary Smith/
f30Me
*Please enter the code above (it is case sensitive):