Application for a Gideon Franchise Let's get started! ; No sensitive information such as driver’s license or social security number is required for this application. This is not an application for employment. This is a request for consideration to purchase a Gideon franchise. Step 1 of 6 16% A) Application Agreement - Conditions of Approval: TO: Gideon Math & Reading, LLC (“Gideon”) 1. Application. The undersigned ("Applicant") hereby applies for approval of one Gideon Math & Reading Center franchise business for a Center. 2. Conditions of Approval. Applicant agrees that issuance of a Gideon Math & Reading Center business franchise is subject to the satisfaction of each of the conditions set forth below: (a) Approval and execution of this Application by the Franchise Company; (b) A passing score of 70% on both sections of the Proficiency Test; (c) Applicant's selection and acquisition of a site for the Center, written approval by Gideon of such site and construction of the Center pursuant to plans approved in advance by Gideon; (d) Receipt by Applicant of all approvals, permits and licenses necessary to operate the Center at the proposed site; (e) Successful completion of Gideon training by Applicant (f) Payment by Applicant of the franchise fee; (g) Execution by the parties of the then current form of Gideon Math & Reading, LLC’s franchise agreement following completion of training and before Center opening; and (h) Satisfactory performance and cooperation by Applicant pursuant to this Application and meeting any specific conditions of approval specified below. 3. Information Questionnaire. Applicant has completed the Information Questionnaire attached hereto and incorporated herein by reference. Applicant hereby represents and warrants that all such information and other information furnished by Applicant in connection with this Application is true, correct and accurate in all material respects and that there have been no material omissions in such information. Applicant agrees to notify Gideon in writing immediately of any material change in the financial or other information furnished by Applicant in connection with this Application. Applicant further agrees that Gideon may cancel its approval of this Application and may refuse to issue the franchise provided for by this Application in the event that any material adverse change occurs in Applicant's financial, business, or personal circumstances.* By checking this box, I have read and agree to the above. B) Application Agreement - Confidential Info & Site Selection: 4. Confidential Information and Trade Secrets. I understand that the granting of a franchise is at the sole discretion of the Franchisor, Gideon Math and Reading, LLC. I understand that any information I receive from the Franchisor or from any employee, agent, or franchisee of the Franchisor or its affiliate is highly confidential (“Confidential Information”), has been developed with a great deal of effort and expense to the Franchisor, and is being made available to me solely because of this application. I agree that I shall treat and maintain all Confidential Information and trade secrets that are disclosed to Applicant in connection with the sale of a Gideon franchise and in training Applicant or its employees to operate the Center. I shall not, at any time, without the express written consent of the Franchisor, disclose, publish, or divulge any Confidential Information to any person, firm, corporation, or other entity, or use any Confidential Information, directly or indirectly, for my own benefit or the benefit of any person, firm, corporation, or other entity, other than for the benefit of the Franchisor. Applicant further agrees to sign and have each of Applicant's employees who go through full instructor training to sign a Confidentiality Agreement and to deliver the same to Gideon before training commences. 5. Site Selection. (a) Applicant acknowledges and agrees that it is the sole responsibility of Applicant to select and acquire a site which meets Gideon’s criteria for site approval and to follow Gideon’s procedures in obtaining site approval for a center. In the event that the Franchise Company does assist in the site selection process, Applicant agrees and acknowledges that any such assistance or any recommendation, approval or advice must not be considered as any assurance or guarantee of success for the center at such site. (b) Applicant agrees to submit at least one site for Gideon’s written approval and to proceed diligently to take all actions necessary to acquire the site and construct the center following Gideon’s site approval. Any lease or purchase agreement for a Site signed by Applicant must be subject to Gideon’s prior approval, and any lease must contain provisions acknowledging that Gideon is not a responsible party with respect to said lease.* By checking this box, I have read and agree to the above. C) Application Agreement - Legal Entities: 6. Legal Entities. Applicant agrees that in the event that the franchise applied for hereunder is to be assigned to a corporation or other legal entity, all record and beneficial owners of the legal entity must execute a personal guaranty of the Franchise Agreement. Any exceptions to this requirement must be in writing signed by Gideon’s Manager/President. Applicant agrees to notify the Franchise Company in writing of any intention to transfer the franchise to a legal entity at least thirty (30) days in advance of any such proposed transfer and to furnish the Franchise Company with the necessary documents required by the Franchise Agreement and Gideon’s procedures. 7. Specific Understandings by Applicant. Applicant specifically acknowledges and agrees as follows: (a) Approval of this Application does not constitute the grant of a franchise, and Applicant will be entitled to execute a Gideon Franchise Agreement hereunder only if and when all conditions of this Application have been met. (b) Only Gideon may agree to grant a franchise or make any other commitment with regard to a Gideon franchise, and any such agreement or commitment must be in writing signed by one of Gideon’s corporate officers. (c) Gideon has authorized no one to make or agree to any oral modifications to the terms of a Gideon franchise agreement or to make any projections or estimates about the future earnings, sales or profits of any Gideon Center. Any such statements are acknowledged to be unreliable and have not been considered in connection with this Application or the purchase of a Gideon franchise.* By checking this box, I have read and agree to the above. Today's DateIN WITNESS WHEREOF, the Applicant has executed this Application on the date set forth below. Date Format: MM slash DD slash YYYY Applicant's Name First Last If accepted for a franchise, the applicant listed would be owner/operator called the center director who would be physically present and directly supervising 75% of the time that the center is open for class.* By checking this box, I have read and agree to the above. Save and Continue Later Personal InfoName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Email* Enter Email Confirm Email Phone*Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a U.S. citizen?*YesNoIf not, what is your immigrant status?*Have you spoken with a lawyer to ensure your immigration status allows you to own AND operate a business in the United States?*If a parent, what are the ages of your children?What is your native language?*EnglishWhat other languages are your fluent in?able to speak/read/write well Save and Continue Later EducationUndergrad. College/University Name & Location*Years Completed & Degree Subject & Type*Post Grad. College/University Name & Location*Years Completed & Degree Subject & Type*Personal ReferencesPlease list 3 non-related references.Name / Phone Number / RelationshipCriminal/Legal HistoryAre any lawsuits pending against you or your spouse?*YesNoPlease explain.*Have you or your spouse ever been arrested?*YesNoPlease explain.*Have you or your spouse ever been convicted of a crime?*YesNoDo not mention traffic violations.Please explain.* Save and Continue Later Employment HistoryStart with most recent employer.Company Name & Address*Dates of Employment & Reason for Leaving*Month/YearSupervisor Name & Phone Number*Position Title & Description of Duties*Company Name & Address*Dates of Employment & Reason for Leaving*Month/YearSupervisor Name & Phone Number*Position Title & Description of Duties*Have you ever owned your own business and/or franchise?*If yes, please describe. Save and Continue Later Desired LocationsList in order of preference. If only interested in general areas, just list known details.1st Choice: Nearest Intersection / City, State ZIP*Is this a retail location?*YesIf not, please describe.Reasons you feel it would be successful*2nd Choice: Nearest Intersection / City, State ZIP*Is this a retail location?*YesIf not, please describe.Reasons you feel it would be successful*3rd Choice: Nearest Intersection / City, State ZIP*Is this a retail location?*YesIf not, please describe.Reasons you feel it would be successful*How did you hear about Gideon?*Former/Current Parent of StudentFriend/Family ReferralDrive By/Center SignageGoogle AdSearch EngineWho referred you?Why do you want to own a Gideon Math & Reading franchise?*If married, what are your spouse's thoughts/feelings on your application for a Gideon franchise?*What is your spouse's plan as to working there with you?*My spouse will be there most of the time with me.My spouse will be there some of the time with me.My spouse will not be there often.Additional info about yourself.*Feel free to list any additional info about yourself (such as your strengths for this business) or family that would be relevant to our consideration of granting you a Gideon Franchise. Save and Continue Later Financial StatementProof of information listed will be needed later.List Liquid Asset Amounts.*In Bank Accounts $In Other Areas $TOTAL What percentage (%) of needed start-up costs will be from:*Personal AssetsFinancing We require at least $100,000 in liquid assets and/or financing for start-up and first year funds. If needed, what is your source of financing?*List Debt Amounts.*Car LoansBank LoansCredit CardsOtherTOTAL A credit report will be run later.Please mark any that are true.* I have had a debt that has gone to collection in the last 7 years. I have filed for bankruptcy in the last 7 years. I have had neither issue debt collection or bankruptcy in the last 7 years. List Monthly Income*Net Salary (yourself)Net Salary (spouse)OtherTOTAL List Monthly Liabilities*Mortgage/RentCar + Debt PaymentsLiving ExpensesTOTAL Accuracy of Application - I certify that the information I have provided on this application is complete and correct. I understand that false or misleading statements on this form are grounds for termination of the application process or, if discovered after I obtain a franchise, for termination of the franchise.* By checking this box, I have read and agree to the above. CommentsThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.