Confidential Questionnaire – Applicant Information

We want you to succeed as a Criterium affiliate. Let’s explore the possibility…

To help us get to know you and help us evaluate your potential for success, we ask that you complete this confidential questionnaire.  Completion of this confidential questionnaire does not obligate you or Criterium Engineers in any manner but will help us determine mutual compatibility. In addition to the information provided in this questionnaire, if you have not already provided it, we would appreciate receiving a copy of a recent resume, which can be uploaded at the end of the questionnaire.

* The security of your data and information is very important to us.  This form is transmitted to us through a secure, encrypted connection protected by a Secure Socket Layer (SSL) certificate.  For additional security, Criterium’s network is monitored 24/7 by a third-party security team.

Phone: (800) 242-1969

"*" indicates required fields

1. Personal Information

Applicant Name*
Date of Birth (optional)
Please enter a number from 0 to 20.
Separate ages with a comma.
Please enter a number from 0 to 100.
Own or Rent*
Which of the following best describes your status?*

2. Education and Professional Background

One per line.
One per line.
One per line.
One per line.

3. Business / Employment Experience

Have you owned/Do you own your own business?*

Business Information (Skip if "No")

Include description of services/products, location, dates of operation, last 3 years revenues, reason for closing, etc.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.
Please enter a number from 0 to 100.

Employment History

Please provide employment information for the last 10 years (beginning with the most recent).
Start Date
End Date
Start Date
End Date
Start Date

4. Professional References

5. Tell us more about you.

Select the top 5 characteristics which best describe you:
Characteristics Group 2

6. Tell us about your ideal Criterium Affiliate Office....

Do you have experience with franchising?*
Max. file size: 30 MB.