Print this form and mail it to:

Huntington Learning Center
496 Kinderkamack Road
Oradell, NJ 07649
-or- Fax it to: 800-361-9728

Contact information:

How did you first learn about the Huntington Learning CenterĀ® franchise opportunity?

Tell us about yourself:

Personal information

Current address

Are you a U.S. Citizen or Permanent Resident?

If no, please explain.

Is your spouse a U.S. Citizen or Permanent Resident?

If no, please explain.

Have you ever owned a franchise business?

If yes, please explain.

Are you investigating other franchise businesses?

If yes, please explain.

Your plans for the franchise business

When would you like to open your franchise?

Will you invest in the franchise yourself? or with a partner?Note: Partner must complete separate application

Partner's name, if applicable. Note: Please have partner complete separate application.

Geographic area of interest:

Other geographic locations of interest:

Educational and military background

College

Graduate school

Additional education

Military experience

Spouse educational and military background

College

Graduate school

Additional education

Military experience

Employment history:

Applicant

Job Title and Responsibilites:


Job title and responsibilites:

Reasons for leaving:


Job title and responsibilites:

Reasons for leaving:

Spouse

Job title and responsibilites:


Job title and responsibilites:

Reasons for leaving:


Job title and responsibilites:

Reasons for leaving:

Financial information:

Assets

Liabilities



Do you currently have a source of financing?

Please explain if you have financing:

Will you use personal assets to finance this franchise?

Have you filed for bankruptcy or compromised a debt during the past seven years?

Bankruptcy filed explanation:

Please share what your most significant contributions to your business would be:

What are your primary reasons for considering investing in a Huntington Learning Center franchise?