Candidate Qualification Summary and Non-Disclosure Agreement

Please complete this summary for an evaluation of your qualifications to become a Silbar Security franchisee. This is NOT an application or contract.

Candidate Qualification Summary

1. Personal Information

First Name*

Last Name*

Gender*

US Citizen*

Address*

Residence Status*

City*

State / Province*

ZIP / Postal Code*

Home Phone

Work Phone

Cell Phone*

Best Time to Call

Email Address*

Drivers License Number

State Issued*

Date of Birth*

Marital Status

Spouse’s Name (if applicable)

No. of Children

Are you related to anyone at Silbar Security?

If yes, please state their name and location.

How did you originally hear about Silbar Security franchise?

What is your preferred geographic location/s? Please separate multiple locations by comma.

Are you interested in a single location or multiple locations?

If multiple locations, how many?

2. Employment History

Prior Employment: List your last three employers (including self-employment) starting with the current one first:

Infomation should include: Dates (mo/yr) | Name & Address | Salary | Position | Reason for Leaving

3. Education

Highest Education Level Achieved

Please separate information using a slash.

College/University | Major | Years Attended | Degree

4. Personal References

Please separate information using a slash.

Name | Relationship & Years Known | Telephone Number with Area Code

5. Military Experience

Enlistment Status

Branch, Rank, and Years Served

If ACTIVE DUTY, how much time remaining on your Enlistment Contract?

If Retired/Veteran, do you have a DD-214?

If YES, please include with the return of this doc.

6. Law Enforcment/Security Experience

Please separate information using a slash.

Agency/Company Name | Years of Service | Title/Duties | City, State | Telephone No. with Area Code

Reason for Leaving Previous Agency

May we contact the above Agencies/Company?

7. Financials

Income per year from current occupation?

Spouse's Income

Amount of capital available for investment?

Statement of Financial Condition

Assets:

Cash on Hand in the Bank

Real Estate Owned

Marketable Securities

Automobiles

Personal Property

Notes Receivable

Profit Sharing

401K

Other Assets

Please itemize.

Retirement Fund

Liabilities:

Notes Payable

Mortgage

Other Obligations

Please itemize.

Credit Cards

Total Assets

Total Liabilities

Net Worth

How to you intend to finance this franchise?

If Other, please specify.

What will be your largest obstacle in opening this Franchise?

What is your current monthly cost of living?

Will this franchise be your only source of income?

Have you ever been convicted of a felony?

If yes, when and why?

Name of Court

CIty and State

Have you ever been convicted of a misdemeanor (other than a traffic violation)?

If yes, when and why?

Name of Court

City and State

Have you ever owned your own business?

If so, please elaborate. Name of company, dates owned, type of business, how many employees.

Do you have an understanding or experience with labor-based industries?

Have you ever looked into a franchise before? If so, which brand(s)?

What has been your greatest business or personal:

Accomplishment?

Disappointment?

What are your greatest strengths and skills?

Are you on track to reaching your personal and financial goals for retirement?

What do you want to accomplish with this franchise?

Will you be hands-on managing the day-to-day operations of the franchise, or do you plan to hire a General Manager? Please explain.

8. Acknowledgement

By completing this form, it is understood and acknowledged that I am under NO obligation and this information is provided to assist in evaluating my personal, professional, and financial qualifications as a prospective franchisee. I understand that you may check my credit history and do a background check as a part of this process and hereby give my permission to do so.

Full Name*

Today's Date*

Signature

Signature Field

Signature

Required

9. Confidentiality & Non-Disclosure Agreement

In order to protect any and all proprietary information, trade secrets, financial information or any other information provided to you ("Participant"). Silbar Franchise Group Corporation (hereinafter referred to as "SFGC") requires all Participants and Owners to sign and adhere to the following non-disclosure agreement.

Participant(s) will not at any time or in any manner, either directly or indirectly, use for personal benefit, divulge, disclose or communicate in any manner any information or materials that is proprietary to SFGC, including the Federal Disclosure Document (FDD). The participant will protect such information and treat it as strictly confidential. The obligation of the participant not to disclose confidential information shall continue for a period of three (3) years. All information disclosed in any conversation, documentation or other presentation is considered strictly confidential.

Each person who will have a vested interest and/or ownership of any kind in the daily operation of the business, must sign below.

Full Name*

Today's Date*

Signature

Required

Signature

Required

Additional Participant (Full Name)

Today's Date

Signature

Additional Participant

Signature

Required

Additional Participant (Full Name)

Today's Date

Signature

Additional Participant

Signature

Required