McDonald’s ® Franchise Application Form Thank you for your interest in owning and operating a McDonald’s® franchise. Please download, print and complete the franchise application form. Once completed, scan and email or send your application to a member of our Franchising team (see address list below). Personal Information First Name : Date of Birth : Last Name : Home Phone : Home Address : May we contact you at your business phone? Business Phone : Spouse’s First Name : Yes No Spouse’s Last Name : City : Have you ever been convicted of anything other than minor traffic violations? Province : Are you involved in pending litigation? Postal Code : Have you or your spouse ever declared personal bankruptcy? E-Mail Address : Are you legally entitled to work in Canada? Yes Languages (fluent in) : Education Schooling Completed : Degree : Dates : Name of college and/or postgraduate school : Describe any training in sales, management or retail : Current Business Experience Occupational Field : Dates : Company Name : Position : Describe duties, number of employees supervised and responsibilities : Previous Business Experience Occupational Field : Dates (begin and end) : Position : Company Name : Describe duties, number of employees supervised and responsibilities : Yes No Yes No Yes No No Previous Business Experience Occupational Field : Dates (begin and end) : Position : Company Name : Describe duties, number of employees supervised and responsibilities : Business Ownership Experience Have you ever owned your own business or franchise? Have you ever had a business failure? If so, please explain. Personal Financial Information Salary, wages, bonus, commissions (in $s) : Dividends, interest (in $s) : Income from spouse (in $s) : Other Income (in $s) : Total assets (in $s) : Total liabilities (in $s) : Net worth (in $s) : Total non-borrowed funds, net of tax obligation, available to invest : Miscellaneous Information List any hobbies, community activities, special interests, or other pertinent information : ® Are you related by blood, marriage or otherwise to any officer, director, employee, or franchisee of McDonald’s ? Relation’s First Name : Yes No Relation’s Last Name : Relationship : ® ® Are you or your employer providing products, goods or services to McDonald’s or franchisees of McDonald’s ? Will you devote your full time to this business? Yes Yes No No What are your reasons for wanting to startup your own business? Would you be willing to relocate for a restaurant opportunity? Yes No In which three general geographic areas are you most interested? ® Have you ever applied for a McDonald’s franchise? If so, where and when? Yes No Where did you find out about this franchise opportunity? Personal Reference (other than employers or relatives) First Name : Personal Reference Last Name : Personal Reference Address : Personal Reference Occupation : Personal Reference Telephone : Addresses for submission Quebec & Atlantic Canada Ontario Western Canada Nathalie Côté, Franchising Department Franchising Department Erinn Toomer, Franchising Department McDonald’s Restaurants of Canada, Ltd 1325 Trans-Canada Highway Dorval, Quebec H9P 2V5 McDonald’s Restaurants of Canada, Ltd. 1 McDonald’s Place Toronto, Ontario M3C 3L4 McDonald’s Restaurants of Canada, Ltd. 4400 Still Creek Drive Burnaby, British Columbia V5C 6C6 Nathalie.Cote@ca.mcd.com (514) 685-4411 Lindsay.Heyes@ca.mcd.com (416) 443-1000 Erinn.Toomer@ca.mcd.com (604) 294-2181 Signature : Date : By signing this application you are indicating all information to be truthful and accurate. You are also giving approval for McDonald’s Restaurants of Canada, Limited to request a routine credit report at our discretion.