Earth Angels Enterprise Licensee Application

Earth Angels Enterprise, LLC is the owner of the trademark: Guardian Angels Sitting Service, associated logo and customized software-pending.

A Prospective Licensee Application (“Application”) must be completed by each prospective Licensee of a Guardian Angels Sitting Service Agency (GASS).

Please allow approximately 14 days for us to review and process your Application.

Understand that under no circumstances does the submittal of your Application to Earth Angels Enterprise, LLC, (EAE) and subsequent review and processing imply in any manner Earth Angels Enterprise, LLC intention to approve you as a Licensee of Guardian Angels Sitting Service.

The Applicant shall not be deemed to be accepted and approved by Earth Angels Enterprise, LLC unless and until the full execution of Guardian Angels Sitting Service Contract(s).

No Licensee of Earth Angels Enterprise, LLC, has the authority to waive or otherwise deviate from the foregoing procedures, and should any deviation from the Application procedure occur, the waiver or deviation from the Application procedure shall not be binding upon Earth Angels Enterprise.

*I, _________________________________________________________________(The “Applicant”) am interested in submitting this Application to Earth Angels Enterprise, LLC, for the purpose of the evaluation of my qualifications to become a Licensee to run and operate my own Guardian Angels Sitting Service location.

Applicants Personal Data

**PLEASE SUBMIT CURRENT RESUME WITH APPLICATION**

*Name (First, M, Last)

*Street Address

*City

*State

*Zip

*Length at Current Address (years/months)

Previous address if at current address for less than 3 years:

Street Address

City

State

Zip Code

*Date of Birth (mm/dd/yyyy)

*Martial Status

Married

Divorce

Single

*Email Address

*Home Phone

*Cell Phone

Applicants Education Background

*What is the highest level of education completed

*Name of High School

*Location:

*Year Graduated:

*Honors/ Awards/ Special Achievements:

*Name of College Attended

*Location:

*Year Graduated:

*Degree obtained:

*Honors/ Awards/ Special Achievements:

Applicant acknowledges and agrees that he/she is under a continuing obligation to provide Earth Angels Enterprise, LLC with prompt written notice of any and all changes in the information provided herein, so that his/her Application remains current and up to date in all respects.

Employment History:

(should coincide with current attached Resume)

Please describe the LAST 3 employment positions. Current employer (if applicable) should be listed as most recent:

*1. Name of Employer:

*Job Title:

*Date of Hire:

*Termination date:

*Reason for leaving:

*Base Salary:

*2. Name of Employer:

*Job Title:

*Date of Hire:

*Termination date:

*Reason for leaving:

*Base Salary:

3. Name of Employer:

Job Title:

Date of Hire:

Termination date:

Reason for leaving:

Base Salary:

Financial Information:

Income:

*Base Employment Income:

Bonuses:

Commission:

Other (Alimony, Child Support, etc):

*Current Total Household Income:

APPLICANT’S EXISTING BUSINESS DATA (If Applicable)

If you presently own, operate, and/or control a business(es), * we require financial statements for the past and prior year, which include a balance sheet and a P&L statement, including cash flow. The information requested must be completed in its entirety in order to process your Application.

*If you have more than one business, please make a copy of this page for each additional business and submit all additional pages with this Application. Please complete this section for all past and present businesses that you have owned or been in partnership with.

*Business Entity Name:

D/B/A (i.e., Trade) Name (if any):

Business Entity Type:

Corporation

Limited Liability Company

Partnership

Proprietorship

Nature of Business:

Date Business Established:

Street Address

City

State

Zip Code

*Email Address:

*Phone Number:

Website:

*Why do you want to become a licensee of Guardian Angels Sitting Service?

*What do you feel qualifies you to operate a Babysitting, Pet sitting and Elderly Companionship Referral Agency?

*Why do you feel these qualities are great enough to become a Licensee of Guardian Angels Sitting Service?

*Please describe any related business experience.

*Have you ever filed bankruptcy?

Yes

If yes, please provide the following: Brief reason:

Month/Year:

City /State:

County:

*Do you currently have established credit?

Yes

*What range is your credit score?

If no, please explain:

*GASS business model supports destination and small historic town locations. Resorts, conferences held at resorts, timeshares, vacation rentals, hotels, and military bases, are examples of markets that support our business model. Please tell us why you believe your planned location for a GASS is appropriate for our business model.

*What tools did you use to analyze this demographic information and what specific demographics did you take into consideration?

*What skills do you possess that would help ensure the agency would be successful?

*Tell us a little bit about your background/ family/ life experiences:

*Do you have children?

Yes

If so, how many?

*List Child/Children's first name and birthday

*Do you have Pets?

Yes

If so, how many?

*Type of Animal/ Breed and Age

*Describe any relationship with the Elderly that you may have either in your family or your community:

*Describe any physical or mental disabilities or limitation that would affect your ability to operate a GASS to its fullest potential?

*Are you involved in your community? If so, in what capacity? (Example: Mom's Groups, PTA, Junior League, and Business Organizations etc.)

*Please describe your current or past need and solution for childcare and your ideas to improve and enhance babysitting experiences for your children. Be as detailed as possible.

*Describe where you hope to see yourself in five years in regards to owning your own GASS:

*HOW DID YOU HEAR ABOUT GUARDIAN ANGEL SITTING SERVICE LICENSING OPPORTUNITIES:

Newspaper Ad

Magazine Ad

Website

Referral

Other

Preferred Location

By state/City, please list your order of preference for the location of a Guardian Angels Sitting Service.

*1.

*2.

*3.

Proposed Partnership

Guardian Angels Sitting Service has an Agency Partnership Policy that every U.S. location must comply with and which must be met by any prospective Licensee.

Accordingly, please provide information to us on your proposed partnership structure, including each individual and legal entity that will potentially partner and/or have control over interests of the agency and/or hold major management positions in the proposed business. All individual partners will be required to complete a separate Application. In addition, please identify a majority partner who will commit to be personally in control of the day-to-day operations of the agency on a full-time basis.

What percentage of the business will you own?

*Name of Partner and Title:

NOTE: Any additional or other individuals with direct or indirect partnership interest in the business must be explained on a separate attachment, and each such person must submit a separate Prospective Licensee Application and be approved as partner by Earth Angels Enterprise, LLC.

*Have you ever been convicted or charged with a crime?

Yes

If yes please describe the details of the incident (dates, county, disposition etc)

*Have you ever been defendant or plaintiff in a lawsuit?

Yes

If so, please describe circumstances.

At any time, has (i) Applicant personally, and/or (ii) during Applicant’s tenure, has a business organization that Applicant controlled, owned, or managed:

*1. Been convicted (including pleas of no contest) of a crime (felony or misdemeanor), including, but not limited to, crimes involving theft, fraud, embezzlement, false pretenses, drugs, receiving (or concealing) stolen property, forgery, counterfeiting, odometer tampering or extortion? (Do not include arrests not resulting in conviction, youthful offenses, or convictions for minor traffic violations.)

Yes

*2. Been found civilly liable for or entered into a consent decree with respect to any consumer fraud, unfair trade practice or similar act or practice, including, but not limited to, misleading advertising and bait-and-switch sales tactics?

Yes

If the answer is “yes” to any of the above, describe on a separate sheet of paper, to accompany this Application, the circumstances of the conviction, plea, civil order, or consent decree associated with each occurrence (including the date, nature, place and court). These answers will be considered in determining whether to award a Licensing Contract to Applicant. Also, please provide copies of the relevant documents (judgment or consent decree, for example) issued with respect to each occurrence.

*Applicant is at least 18 years of age and either is a (1) U.S. citizen or (2) has the right to remain lawfully in the U.S. indefinitely and maintains a current primary residence in the United States.

Yes, I am a U.S. citizen.

No, I am not a U.S. citizen; however, I have the right to remain lawfully in the U.S. indefinitely, and I maintain a current primary residence in the United States. Please provide documentation of your permanent residency, e.g., copy of your permanent residency card. (Check box and initial if applicable.)

Please provide the following required documents:

1. Copy/Photo of your driver’s license front and back

2. Letter from your Bank officer, which explains your relationship with them and validates that your account information given in this application is accurate and true.

3. Letter to explain your credit worthiness and any credit problems you may have had in the past and how it was repaired

4. On application Character and Professional references from Business Associates and personal friends- (not of relation to the applicant). Please list the name, phone number and email of each reference below

Character References:

*1.Name

*Cell:

*Email:

*2.Name

*Cell:

*Email:

*3.Name

*Cell:

*Email:

Professional References:

*1.Name:

*Cell:

*Email:

*2.Name

*Cell:

*Email:

*3.Name

*Cell:

*Email:

Any misrepresentation made in this Application shall give Earth Angels Enterprise, LLC the right to terminate any resulting or subsequent Guardian Angels Sitting Service Licensing Contract(s).

Applicant acknowledges and represents that all the information provided to Earth Angels Enterprise, LLC by Applicant or on Applicant’s behalf, whether in this Application, in the accompanying Data Sheets and Schedules or otherwise, is and shall be true, correct and complete to the best of Applicant’s knowledge.

*Signature of Applicant

*Print or Type Name of Applicant

Date

Please Submit

Please submit the $75 non-refundable Application Fee, via check or money order, made payable to Earth Angels Enterprise, LLC.

Application Fee should be submitted to:

C/O Earth Angels Enterprise, LLC

Attn: Melissa Monge

7 Chinaberry Circle

Hilton Head, SC 29926

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