Confidential Application

This form, when completed, is an essential part of evaluating your qualifications to be awarded a franchise of The 12. Please print or type and give specific answers to all questions. All answers are held in confidence. The completion of this form does not obligate The 12 or you in any way or manner.


(To be completed by each proposed partner of the franchisee group.)

Personal Data

BUSINESS EXPERIENCE (Work history and/or business started) Please give present or last position first, and provide the last 5 years of work/business history; attach an additional sheet if necessary.

Management Goals

If yes, please identify all partners:

 Name  Address  Telephone #  Active in Franchise?

Location Preference:


 Name Telephone Number  Association