J. R. CRICKETS OWNERSHIP FORM PERSONAL HISTORY Name * Address * City * State * Zip Code * Date of Birth * Home Phone * Business Phone * Email * Will you allow us to order a credit report on you? Please Select Yes No Why have you chose J.R. Crickets®? * How did you find out about J.R. Crickets® Enterprises, Inc. business opportunities? * BUSINESS INFORMATION US Citizen? Please Select Yes No Current Occupation * How long? * Do you plan to personally operate the business? Please Select Yes No Do you have at least $75,000 liquid assets? Please Select Yes No If YES, how are you qualified to operate a restaurant? If NO, enter N/A and Proceed to next field. * If NO, what will your role be? Enter N/A if you completed field above. * If NO, please explain. If YES, enter N/A. * Do you have a partner? Please Select If YES, partner will need to fill out a separate application. LOCATION SELECTION Describe your ideal location * City or Town * State * Why have you chosen this area? * Do you have a specific location in mind? * If YES, please give the address. If NO, enter N/A. * What is your time frame to open? * Submit Now create your own Jotform - It's free! Create your own Jotform