Franchise – Interview Form

School Partnership Interest Form

1. Personal Data
Title :*
- Mr.
- Mrs.
Full Name :*
Phone / Whatsapp Number :*
Email :*
2. Residential Address :
Home Address*
City :*
Province :*
3. Business Background
Have you ever own any business in education area?*
- Yes
- No
If Yes, please describe :
4. Business Motivation
Why are you interested in opening Stella Maris School ?
Your reason to build education business
5. Proposed Location for new school
Area / Location Address :*
City :*
Width Of The Land : (m)*
Length Of The Land : (m)*
Status of Proposed Property :*
- Owned
- Rented
- To Be Arrange
Type Of Surrounding Property :*
- Residential
- Commercial
- Apartment
Land Area : (m2)*
Building Area : (m2) - (type '0' (zero) if land only
Land Certificate Status:*
Road Access Width : (m)*
Property Facilities / Utilities*
- Internet Access
- PLN Access
- PDAM Access
- Free From Flood
- Free From Earthquake
You intend to :*
- Establish new School
- Convert existing School
Stella Maris School appreciates the time and effort you have put into the completion of this form. This information submitted in this form will be treated by Stella Maris as strictly private & confidential.*
- Please √ tick this box to indicate that the facts you have given are true to the best of your knowledge and belief and may be used Stella Maris School to access your application and carry out such checks as are required to verify you information and your suitability as an extended Stella Maris partner. You agree that you will notify Stella Maris School of any material changes to this

School Partnership Interest Form

1. Personal Data

2. Residential Address :

3. Business Background

4. Business Motivation

5. Proposed Location for new school