PET DEPOT® Veterinary Group Online Preliminary
Confidential Franchising Application
Simply fill out the application and submit to us.
We'll be in contact with you shortly. Application will be held in strictest confidence
You may also download, fill out and fax back a printed application here (pdf file)

  • All information is Confidential and not shared.
  • No References are contacted unless authorized by you.
  • Filling out an application does not create an obligation of either party to sell or buy a PD Veterinary Franchise.
  • Qualified Applicants may express interest in 3rd party funding below.
Personal Info
Name *
D.O.B.
S.S.#
Spouse's Name
 
Street Address *
No. Yrs. At Address
City *
State *
Zip *
Home Phone *
Business Phone
 
Cell Phone
 
Email Address *
# of dependents
U.S. Citizen?
Yes No
Is spouse a U.S. Citizen?
yes no
Education
Are you a DVM, VMD?
Yes No
Please check number of years completed schooling
12 13 14 15 16 17 18 19 20
Where you studied:
Please describe your education:
Describe your Medical Practice Experience:
General
Specialty
Any Other Special Training
Current Employer (Will not be contacted):
Name
Address
City
State
Zip
Position
Years in this position
Business Reference 1
Business Reference 2
Financial Information
Annual Income Recent
Avg. Annual income past 3 yrs
All financial information is confidential:
  PET DEPOT is not a Lender of funds
  Do you want us to contact a lender for you? Yes No
  Business Loans will require a direct effort between YOU and the lender
  Not all applicants will qualify - Decisions are made by the Lender
Balance Sheet
ASSETS
LIABILITIES
Cash in Bank
Notes Payable
Stocks / Bonds
Notes to Others
Real Estate
Charge Accounts
Real Estate
Credit Cards
Real Estate
Taxes Payable
Investments
Vehicle Loans
Retirement Accounts
Other Liabilities
Vehicles
Other
Other Assets
Other
   
Total Assets
Total Liabilities
Net Worth
Have you ever had a bankruptcy? Yes No
If so, when?
Additional Information
Do you have a financial partner? Yes No
If yes, describe the relationship of financial Partner
Are you considering operating with a Practicing Partner? Yes No
If yes, describe the terms and conditions
Will you work in your PD franchise Hospital, Wellness Clinic, Specialty Practice?
Yes No
Where did you first learn about PET DEPOT® franchises?
Veterinary Practice News
PULSE So. Cal.
CVMA Publication
Other
Practice Information
What type of practice do you want to open?
Full Service Hospital
Out Patient Wellness Clinic
Specialty Medical Practice
Where would you like to locate your PD Veterinary Group?
If approved, how soon would you be ready to enter the program?
Please tell us why you're interested in becoming a PET DEPOT Veterinary Group Franchisee:
What Personal Skills do I bring to the business?
What parts of my working history would be an asset to the business?
What components of running the business would I enjoy?
What components of running the business would I dislike?
What concerns you the most about entering into business for yourself?
Have I set realistic goals? If so, what are they?
What do I see my role as?

Important: This application is to be completed by all parties pusuing a realtionship with PET DEPOT®. It is understood that the purpose of this information is to evaluate your qualifications to be awarded a PET DEPOT® franchise. The information contained herein will be held in the strictest confidence. Sending this form does not obligate PET DEPOT® or the applicant in any way or manner.

I certify that the above information is a true and correct representation of my personal and financial condition and authorize PET DEPOT® to verify, through usual and customary commercial channels, including financial institutions and credit agencies, the information provided by me.

Yes Date