Retail Store Franchise Opportunities with Sears: Apply Now

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Tell me more about this opportunity* I want to apply*

First Name*

Last Name*

Address*

City*

State*

Zip*

Daytime Phone*

Email*

Business of Interest*

I'm interested in

Requested Business Location

Net Worth

How much capital do you have access to for investment in a Sears retail franchise or dealer store opportunity?*

How did you hear about us?*

How soon would you like to be open for business?

Please enter your first and last name.
First Name*	Last Name*
Please enter your full legal name.
Full Legal Name (no nicknames)*
Please enter a valid email address and your street address.
Email*	Home Address (no P.O. Boxes)*

Please enter your city, state, and zip code.
City*	State*	Zip*

Please enter 10-digit work and home phone numbers.
Work Phone*	Home Phone*
Please enter a 10-digit mobile number.
Mobile*	Fax
Please enter the last 5 digits of your SSN and specify your citizenship.
Last 5 digits of your SSN*:	Are you a US Citizen*: Yes No
If you are not a US Citizen, does your visa status allow you to own your own business? Yes No
Please enter your driver's license information.
Driver's License*:	Drivers License State Issued*:
Please specify your education.
Education*:
Special Activities / Interests / Members:
Please describe how you heard about this opportunity.
How did you hear about the opportunity?*
Please select a market type.
Are you interested in an existing or new market?*
Please specify a city and state.
Market (City) Chosen*:	Market (State) Chosen*:

Please specify your net worth and the amount of cash available without borrowing.
Net worth*:	Cash available without borrowing*:
Please specify whether you rent or own and your monthly payment.
Own or Rent Primary Residence*:	Monthly Rent / Mortgage Payments*:
Please describe why you're interested in this opportunity.
Why Are you Interested in Become a Hometown Store Owner?*
Please specify how soon you'd be ready to pursue this opportunity.
How soon are you ready to pursue?*
This application does not constitute an offer to become a Sears Hometown Store Owner. It is strictly an application to be an independent Sears Hometown Store Owner. It does not constitute an application for employment. The undersigned acknowledges that operating an independent Retail Dealership has no guarantee of success and that Sears makes no representations as to the business risks associated with owning and operating a Hometown Store. The risks and rewards, if any, are primarily dependent on the individual operator. The undersigned represents and warrants that the information furnished is full, truthful and accurate. The undersigned authorizes Sears or its designated representatives to do the following as part of the application process and, if applicant is selected as a Sears Hometown Store Owner and enters into a definitive Hometown Store Agreement with Sears, as part of any review of applicant's financial status during the term of the Hometown Store Agreement and any successor agreements thereto: obtain consumer credit reports, including investigative consumer reports;* obtain commercial credit reports; conduct a background investigation, including the verification of any information furnished by the undersigned; contact any references noted; and provide any and all information contained in this application or obtained from any credit report, background investigation or references, to any financial institution requesting such information for purposes of providing financing related to Hometown Stores to the undersigned. * These reports will provide, among other things, information on the character, general reputation, personal characteristics, or mode of living of the undersigned and may be obtained through personal interviews with neighbors, friends, or assocaites, or with others with whom the undersigned is acquainted or who may have knowledge concerning any such items of information.
Please indicate that you've read and accepted the disclaimer above.
Have you read and accepted the disclaimer?* YES, I have read and accepted the disclaimer

Please specify.
Have you ever owned your own business?* Yes No
If yes, describe the business:
Please specify.
Have you ever been convicted of a felony apart from minor traffic violations?* Yes No
If yes, describe the facts:
Please specify.
Have you ever declared bankruptcy?* Yes No
If yes, describe the facts:
Please specify.
Do you have any previous Retail Sales Experience?* Yes No
Please specify.
Do you have any previous Retail Management or Operation Experience?* Yes No
Please specify.
Have you ever been employed by Sears Roebuck?* Yes No
Please specify.
Have you ever been employed by Sears Hometown?* Yes No
Please specify.
Have you ever owned a Sears Hometown Store?* Yes No
Please describe your previous retail experience.
Describe any Previous Retail Experience*:
Please specify.
How many hours per week do you plan on devoting to the business?*
Please specify.
What is your yearly Income Expectations from the business?*
Please specify.
Who will operate store on a daily basis?*
Please specify.
Will other persons be involved in the day to day management of the business?* Yes No
If yes, describe who and relationship:
Please enter your present occupation and position.
Present Occupation*:	Present Position*:
Please enter your present employment dates and company name.
Present Dates Employed*:	Present Company*:
Please enter your present company's full address.
Present Company Address*:

Please enter your total annual income.
Present Duties, Responsibilities:	Total Annual Income*:

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