Franchise Application Form

  • Qualifications

  • Employment History

    Tell us about your work history. What have you been doing for the past 5 years? List your most recent position, and be sure to email your full resume or employment history to

  • Have you owned a business before?

    Tell us about any businesses that you have owned, advised or directed.

  • Why You?

    Tell us about your skills, know-how and overall ability to kick-butt.

  • References

    List two personal and two business/employment references.

  • Full NameRelationshipPositionEmailPhone 
  • Full NameRelationshipPositionEmailPhone 
  • Full NameCompanyPositionEmailPhone 
  • Full NameCompanyPositionEmailPhone 
  • Advisors

    Please share the details of your advisors below.

  • Convictions

    If you have had any convictions, in any jurisdiction under any legislation, list the details here. If nil, please type N/A into the fields below.

  • Location, year, offence & penalty
  • Location, year, offence & penalty
  • Legal Proceedings

    If you have you been a part of any legal proceedings, in any jurisdiction, list the details here. If nil, please type N/A into the fields below.

  • Credit History

  • Financial Position

    Please list the value of each category of assets and liabilities below.

  • Cash Flow

  • Monthly Expenses

  • Declaration, Acknowledgement and Authorisation

    I, the undersigned, declare the following: As far as I am aware the answers and information I have provided in this application form are true and correct in all respects, and that no relevant details have been omitted.

    I further acknowledge that:

    • If any information included in this application form is false or misleading in any way, CorePlus shall have the right to terminate any business agreement entered into on the basis of the information contained in this application.
    • The Application Fee paid by me to CorePlus at the time of submitting this application form is fully refundable until I sign a Franchise Agreement in accordance with the Franchise Code of Conduct
    • After the execution of the Franchise Agreement and as permitted by the Franchise Code of Conduct, the Application Fee will become non-refundable and will be applied against the cost of recruitment, including the preparation and negotiation of the required legal documentation.

    I authorise CorePlus to:

    • Obtain a report detailing my personal credit history from a credit reporting agency of their choosing and at its cost.
    • Obtain from the relevant government authority a report detailing my personal police record.
    • Obtain from the referees listed in this application any information that may assist the CorePlus in its evaluation of this application.
  • This field is for validation purposes and should be left unchanged.