License Information Request

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Age

Current Occupation

Current Position

Years in Current Position

Describe your business background (previous 10 years)

What other business opportunities are you currently exploring?

If you are accepted as a SGF Licensee, how much working capital will you devote to your business?

What is your approximate Net Worth? (R)

If you are accepted as a SGF Licensee, how soon are you prepared to start this new business venture?

Is there anything you would like to tell about your business goals?

If longer than 3 months please specify:

Please check which of the following applies to you:

You enjoy working with people

You are a Self-starter

You have a good business acumen

You are a decision maker

You have suitable financial resources

You want to own your own business

You have excellent communication skills

You have empathy for small business

You are a problem solver

Why do you feel that you could be a successful SGF Licensee?