Request for Consideration Step 1 of 4 25% Date of Application* Date Format: MM slash DD slash YYYY Name* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you a United States Citizen?*YesNoAre you a Veteran?*YesNoAddress* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Fax Marital Status*SingleMarriedDivorcedSpouse's Name* First Last Spouse's Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Spouse's Occupation*How did you hear about the Parisi Business Opportunity?* BUSINESS EXPERIENCEName of Most Recent Employer*Address* Street Address City State / Province / Region ZIP / Postal Code Type of Business*Are you currently employed here?*YesNoPosition HeldResponsibilities:*Highest Education Received OWNERSHIP PLANSHave you previously been in business for yourself?*YesNoWhat was the business?*Will operating your Parisi Business Model be your full time job?*YesNoPlease explain your other obligations.*Will you have any partners in this endeavor?*YesNoPlease explain.*Is there a particular location where you want your business to operate? (City, State) Please indicate your first and second choices.*How soon would you like your business to open?*3-6 months6-12 monthsLater than 12 monthsI am seeking...*An individual locationMultiple locationsCapital available for this business:Will this be a primary source of revenue or investment? YesNoPlease explain.Do you have any experience in the fitness / sports industry?YesNoPlease explain.How many years has your business been in existence?This will be...A new project within an existing facilityStand alone OTHER INFORMATIONWhy do you believe you can successfully operate a Parisi Business Model?How will the Parisi Business Model opportunity help you in achieving your business and personal goals?What differentiates you (and or your company) from the competitors in the marketplace?Additional information or comments that you might like to share with us in evaluating your Request for Consideration:NameThis field is for validation purposes and should be left unchanged.