Remember Me
Date Of Birth
Expiration Date
Have you been convicted of a crime or paroled in the last 7 years? (You need not disclose juvenile or expunged convictions)
YesNo
Do you have any previous legal names?
Are you eligible to own and operate a business in the US?
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Please provide two references who Company can contact to verify details of your personal and business experiences.
Are you a military veteran?
SelectYesNo
Do you have experience hiring and/or managing people?
Do you have experience owning and operating your own business?
If selected to own and operate a Errand Service Partner, what personal and business goals would you hope to achieve by starting your company?
What three words would you use to describe the culture you would foster at your company? Explain why you chose each word to represent your company's culture.
Please list and describe your current involvement in the community. Do you volunteer for any local agencies, participate in any events that benefit community members, or belong to any clubs or groups?
Please describe your leadership style
Is there anything in your personal, professional, or financial history that requires explanation?
What is your current annual income ($)?
What is your total household income ($)?
What are your estimated total assets including real estate, liquid assets, investments, retirement assets and other assets ($)?
What is your estimated net worth (assets minus liabilities)?
What are your estimated total liabilities including mortgages, secured and unsecured loans, credit card debt and balances, child support, alimony, auto leases and other liabilities ($)?
Do you have unsatisfied judgements or lawsuits pending?
Have prior tax returns been contested?
Have you ever sold property as a short sale or been foreclosed on or sued for foreclosure?
Is there anything in your financials that require explanation ?
Are you interested in receiving a $10,000 diversity grant to become a Errand Service Partner (ESP)?
To be eligible for the grant, applicants must self-identify as Black/African American, Hispanic/Latinx, and/or Native American/Indigenous. The data you provide will be kept confidential and separate from your ESP application, and will not be used in a discriminatory manner. Completion of this question is optional and voluntary.
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