REQUEST FOR CONSIDERATION



REQUEST FOR CONSIDERATION This information is confidential, for the exclusive use of La Rosa Nautica S.A

1.- PERSONAL INFORMATION
Names: Last:
Middle: Address:
City: State:
Phone home Phone work Cell Fax
Best time to contact Email address:
Date of Birth ID / SS Number
Education (compeleted) Degree
Marital status First (Spouses name)
Middle Last
Date of birth ID / SS Number
Ocupation: Number of Dependants
Do you plan to open the restaurant by yourself? Yes No
Explain: Why you want to open your own business?

Which main questions you have in order to establish your own business?

Which skills you think you have, in order to manage La Rosa Nautica Restaurant in an efficiency way?

Are you interested in one or multiple units? One Multiple units
Do you have a suitable location to open this franchise? Si No
If YES, please provide the name of the person in charge / possible General Manager and attach his Resume

Prefered location(s) for your restaurant



Do you plan to dedicate full time to this business? S i No
If NO, please provide the name of the person in charge / possible General Manager

Are you planning to include this franchise, as part of a joint venture S i No
Will you have a business partner or other investors? S i No
If YES, please provide name(s) of partner(s) / investor(s)


Business partners / Investors must complete a separate Offer of Consideration

2.- EMPLOYMENT INFORMATION
Employer : Job Title Start & End dates
Specific duties: Salary (per year)
Address: Phone Number:

Employer: Job Title Start & End dates
Specific duties: Salary (per year)
Address: Phone Number:

Employer: Job Title Start & End dates
Specific duties: Salary (per year)
Address: Phone Number:

3.- BUSINESS EXPERIENCE (Owned Business)
Company: Industry Number of employees Start / End date
Did any of you business has benn declaraded in bankrupt? S i No
Why?

Doy you have any restaurant experience? S i No
If YES, please detail


Do you have experience in any business as a franchise owner or as a franchisor before? S i No
Which one(s)


Have you applied to obtain a franchise before? S i No
Wich one(s)


Do you own registered trademarks? S i No
Which one(s)


Additional information


4.- GENERAL INFORMATION - HOW DID YOU HEAR ABOUT US
Advertisement - What publication?
Web Site - Explain:
Other - explain:

I CERTIFY THE INFORMATION I HAVE PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT. I HEREBY AUTHORIZE LA ROSA NAUTICA RESTAURANT, OR IT'S AUTHORIZED AGENT TO OBTAIN VERIFICATION OF ANY OF THE INFORMATION PROVIDED.