This form will assist you in preparing and presenting your qualifications to become a Master Distributor with NNP. We take special care in assigning our Market Areas. The quality of each Master Distributors and Master Distributor Group affects the overall quality of our program. It is the duty of NNP to protect the integrity of the program for all current and future Master Distributors. It is with this in mind that NNP has developed a pre-qualification process. You will receive a simple phone interview after the completion of our pre-qualification forms. We want to make sure that this opportunity will be a successful business for you. In doing so, we are protecting the future of all parties.
Please complete form with as much detail as possible. The completion of this form places no obligation on either party. All information listed is confidential and your employer will not be contacted.
Please fill out submission form also.
Copy/Paste this form into your email composer and send to: support@nnpworks.com
PERSONAL INFORMATION
Name (last/middle/first) _____________________________________ Date of Birth __________
Street Address _________________________________________________________________
City ________________________________State ________________ Zip _____________
Social Security # _____________________________________ Marital Status _____________
Phone: Home __________________________ Best Time to Call _______________________
Phone: Business _______________________ Best Time to Call: _______________________
Number of Children/Dependents _______________________Ages ______________________
State of Health (circle one)
Self: Excel. Good Fair Physical Limitations ____________________________________________________________________________
Spouse: Excel. Good Fair Physical Limitations ____________________________________________________________________________
Education (circle one)
Self: 9 10 11 12 College ______________________ Degree __________ Major ________
Spouse: 9 10 11 12 College _____________ ________ Degree __________ Major ________
EMPLOYMENT & BUSINESS INFORMATION
What is your current occupation? _____________________________________________________________________________
Firm Name and Address ________________________________________________________
Dates Employed with Firm From: ________________________ To: ____________________
Where would you operate this business?
Home: ______________ Existing Business: ________________ Other: __________________
Previous Business Experience (list in order)
Firm Address From/To Position Annual Gross Income
MANAGEMENT PLANS
Will you have partners, associates or investor? (Active/silent) ________________________________________________________________________________
Are you a partner or officer in any other venture? ________________________________________________________________________________
________________________________________________________________________________
Describe what your role will be in this business? (Sells, management, distribution, investor only, etc. ____________________________________________________________________________
What key aspect will you bring to the business? When will you be able to start business operations? _____________________________________________________________________
Will you work in the business full-time or part-time? ________________________________________________________________________________
________________________________________________________________________________
If part-time, please explain why? ________________________________________________________________________________
Do you feel that you have the drive, ability and the right business opportunity to help create a positive change in the African-American community? ________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
What level of income do you expect to earn from your business in 1 and 5 years? How much money are you prepared to invest in this business opportunity? List your special plans to reach your income goals.
1 year ________ 5 years ______ ______________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Business References:
Name Address City/State
Contact Area Code/Telephone Number
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Bank Credit References:
Name Address City/State
Bank Officer Area Code/Telephone Number
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Additional Comments: ____________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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Please give us a brief summary of why you are interested in becoming a Distributor, and why do you believe you will be successful? _______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Please list your territory preferences below. Are you willing to relocate? ________ _______________________________________________________________________________
1. ________________________________ 2. __________________________________
3. ________________________________ 4. __________________________________
Email or Fax this form to NNP
