Register Your Interest

Putting your Heart into Caring for people at Home can make you Successful

Should you apply?

Experience has revealed that the most important factor is determination. Your business will evolve, and there will be challenges, but together we will find the answers. Only perseverance will gain the ultimate goal. Carealot franchises will be awarded to individuals who have a passion to care for people and have the ambition to implement our proprietary networking, marketing and public relations programs.

Carealot is one of the first Home Health Care companies to franchise its winning formula for caring for people. Carealot believe it is one of the hottest franchise ideas for 2005.

How to Apply

If you agree that becoming a Carealot business partner is right for you, please complete the application below. Our Franchise Selection Committee will review your application to ensure that initial qualifications have been met as the basis for a more thorough, follow up exploration of the potential for a mutually successful business partnership.

Personal Information
* Name
* Address
* City
* PostCode
* Home Telephone
* Work Telephone
Mobile
* E-Mail
Marital Status	Married Single Divorced Widowed
Number of Children
Permanent Australian Citizen?	Yes No
If not, which Country?
Home	Own Rent
How long?
Last Residence
What made you enquire about this Franchise opportunity?
Professional Experience
Position 1
Company
Address
Position
Employed from:
Employed to:
Responsibilities
Position 2
Company
Address
Position
Employed from:
Employed to:
Responsibilities
Position 3
Company
Address
Position
Employed from:
Employed to:
Responsibilities
General Information
Do you intend on operating your Carealot full time	Yes No
If not, please explain why
Have you ever run your own business?	Yes No
Have you ever declared bankruptcy?	Yes No
If yes, please explain
Have you ever had legal action taken against you?	Yes No
If yes, please explain
Have you ever been convict of a crime?	Yes No
If yes, please explain
Have you ever had a license, business license or registration held by you or your business in you had an interest, suspended, revoked or withdrawn?	Yes No
Preferred Franchise Region
Is there a particular region in which you are interested?
City/State (1st choice)
City/State (2nd choice)
City/State (3rd choice)
Would you be able to move or relocate?	Yes No
How soon would you be able to start your business?	Immediately 3-6mths 6-12mths 1year+
Do you plan to have a partner in this business?	Yes No
How do you plan to fund your purchase of a Carealot Franchise?	Cash Financed Other
Source of Finance
Please describe

Register Your Interest

Putting your Heart into Caring for people at Home can make you Successful

Should you apply?

How to Apply

Personal Information

Professional Experience

Position 1

Position 2

Position 3

General Information

Preferred Franchise Region

Is there a particular region in which you are interested?