Personal
Your information will be treated in accord with our
Privacy Policy.
Full name
Address
Number
Street
Suburb
City
Country
Select country
Australia
Post Code
Home phone
Business phone
Email address
Date of birth
Age
Marital status
Spouses name
Spouses occupation
Number of children
Age of children
Health
Physical disabilities or health problems
(If you have a resume please send with this application)
Education
(please list any relevant qualifications)
Experience
Present/Last position
Previous position
List your interest and special skills
Why are you seeking a business of your own?
Why are you interested in Thermoglaze?
Your financial position
Assets
Liabilities
Cash on hand at bank
$
Mortgage
$
Real estate
$
Loans
$
Securities (shares, bonds etc.)
$
Other
$
Your business
$
Motor vehicles
$
Other (detail)
$
Annual income from present occupation
$
Spouses income
$
General questions
Why do you want to go into business?
What do you consider your greatest strengths?
What do you consider are your greatest weaknesses?
What qualities do you have that you believe are valuable if you become an agent?
What do you think is likely to make the difference between success and failure in your business?
What has been your greatest accomplishment in your life?
What has been your greatest disappointment?
What else do you think we should know about you to understand you better what your association with us could mean?
How do you intend to finance your investment?
Will you devote your full time to the business?
Where do you want to be in five years times?
I hereby certify that the above is true and correct?
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2005
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