License Application Form

PERSONAL INFORMATION

Name:     First Middle Last
Partner:   First Middle Last
Telephone Cell Phone
Email
Residential Address
City State   Zip

BUSINESS BACKGROUND
 
Self
Partner
Present Employer
Job Title
Length of Employment

ABOUT YOU
How did you become interested in The DogSmith?
What are your primary reasons for wanting to License The DogSmith?
Which of the two DogSmith licensing options are you interested in?  (Conversion or New Business)
Please tell us why you believe you will be a successful DogSmith Licensee. Make specific reference to desirable character traits, your transferable skills, your work experience, and your professional goals.
Are you actively enrolled in any pet industry educational programs?
Do you have any professional pet industry credentials?
Do you plan on having a business partner? Yes No
Partner’s Name: Phone:
Is your partner planning on being active in the business, and in what capacity?
Are you planning to have your spouse or partner active in the business, and in what capacity?
Will any other family members be involved in the business?
What is the extent of your research into business licensing, the dog training and pet care industries, and DogSmith?
What are the main benefits you hope to gain from the DogSmith License?
Have you ever licensed a business before ? If so, please describe.
Have you ever run your own business? If so, please describe.
Have you ever been convicted of a felony? Yes No
 
City/County
Estimated Population
First Choice:
Second Choice:
Third Choice:
Are you interested in multiple units? Yes No
Do you now  or have you ever owned a family pet? Yes No
Have you ever been involved in training a family dog? Yes No
Are you involved with a rescue organization or breed rescue group? Yes No
Have you ever managed, taught or supervised people? Yes No
Have you ever managed a business or been financially responsible for a business? Yes No
Have you ever worked in a pet related job? Yes No
Have you ever adopted or fostered a rescue dog or cat? Yes No
Are you a strong and effective communicator? Yes No
Do you enjoy working, cheer-leading and supporting other people? Yes No

Your credit rating is : Excellent Good Fair Poor Credit score if known:
(You will be asked to provide a copy of the score prior to any formal licensee agreement)


REFERENCES

 
Name
Telephone Number
Email Address
Reference 1:
Reference 2:
Reference 3:

This is not a contractual agreement. This agreement does not bind or obligate you in the purchase of a DogSmith license

I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications. I also authorize you to request and receive such information.

I agree:
Your name: Spouse name:

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