Franchise

Application Form

Applicants Name………………………………

Date………………………………………………….

Thank you for considering Starbucks Coffee Company.

This form will help you prepare and present your

personal and business information which is essential
for our consideration in granting Licenses. Please
complete it thoroughly and note that the completion of
this application form places no continuing obligation on
either you and or Starbucks.
Title Forename(s) Surname

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Home Address:
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Registered Business Address:

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Office tel: _____________________________________

Mob tel: _______________________________________
Email: _________________________________________

In which geographical areas do you currently operate your business?

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In which geographical areas would you like to operate Starbucks Stores?

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Education

Higher Education and Qualifications :( education since leaving school including

professional qualifications)

Course Qualifications Year Name and address of

description institution

2
Secondary :( education to normal leaving age)

Course Qualifications Year Name and address of

description school/college

Describe your current (Food &Beverage) retailing business set up and

experience?
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References
Please provide details of two business references. (No contact will be made until we
have any mutual agreement to your entering our extended licensing programme.)

Referee 1
Name______________________________________________________________________________________
Address___________________________________________________________________________________
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Email______________________________________________________________________________________
Contact number__________________________________________________________________________
Occupation________________________________________________________________________________
Relationship______________________________________________________________________________
No. of years acquaintance_______________________________________________________________

Referee 2
Name______________________________________________________________________________________
Address___________________________________________________________________________________
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Email______________________________________________________________________________________
Contact number__________________________________________________________________________
Occupation________________________________________________________________________________
Relationship______________________________________________________________________________
No. of years acquaintance_______________________________________________________________

3
Career and Business History:
Dates Employer’s or Type of Position(s) Duties and responsibilities Reason for
Fr To business Name business held including number of leaving
and address employees supervised

4
Financial statement:

Personal financial Statement - for the last full financial year

Salary/draw______________________________________________________________________________
Bonus/Commision_______________________________________________________________________
Dividends/interest_______________________________________________________________________
Income from property___________________________________________________________________
Profit of your business___________________________________________________________________
Other income (please specify) __________________________________________________________
Spouse income____________________________________________________________________________
Total_______________________________________________________________________________________

Do you have any other business interests? Please

specify_____________________________________________________________________________________
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Assets £ Liabilities £

Cash Loans

Shares

Properties, at market value Mortgages

Current assets Current liabilities

Inventory Other liabilities / invoices due etc

Net business value Any other debts

Total assets Total liabilities

What is your average monthly cash on hand?

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How much capital do you have available to invest in this business (minimum
£500k of liquid assets)-
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Have you, your current or previous company or your spouse ever been declared
or filed for bankruptcy? Please provide details;
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5
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Have you or your business ever been prosecuted, or been involved in a dispute
(i.e., county court judgements etc...)
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Have you ever been involved in a business failure? Please provide details;
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Have you ever been convicted of a criminal offence? Please provide details;
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Describe why you believe that you can be a successful Starbucks Licensee?
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Give some examples of how you have set up a business to deliver world class
customer service?
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6
Please provide some examples of changes you have implemented that have
significantly improved the profit of your business?
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Please give an example of a time when you made the wrong decision? How was
it resolved and what did you learn about yourself and your business?
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Provide an example of when your leadership resulted in long term sustainable

growth for your business?
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Describe a time when you have strengthened your business through nurturing
and inspiring your team?
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Describe how you would run a Starbucks store or group of stores

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7
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What role do you foresee taking within the license and how, if at all, do you see
this changing over time?
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What motivates you?

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Describe your involvement in the community, and any interests and hobbies you
have outside of your business?
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Can you please provide examples of where your current business has been
locally relevant in the community?
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Have you, either as an individual or company previously applied to become a

Starbucks franchisee?
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8
Starbucks appreciates the time and effort you have put into the completion of
this form and welcomes applications from all sectors of the community
regardless of gender, marital status, disability, ethnic origin, race, colour,
nationality, sexual orientation, religion or belief.

Please sign below to indicate that the facts you have given are true to the best of
your knowledge and belief and may be used by Starbucks to assess your
application and carry out such checks as are required to verify your information
and your suitability as an extended Starbucks licensee. You agree that you will
notify Starbucks of any material changes to this information in writing and
understand that omission or misrepresentation of information in this form may
result in your removal from the Starbucks programme.

Signature date

Many Thanks
The Franchise Team