LL-Application Form

Williams Marketing and Management, Inc

First NameLast Name

First Name*

Last Name*

Phone Number*

ex: 123-456-7890

Email Address*

example@example.com

Position Applied For*

Life Line Program*

Desired Market Location*

City and State of New Location*

Leaders Name/ Referral?*

Agent Name*

Own a smart phone or tablet with data?*

_{THIS IS A 1099 INDEPENDANT CONTRACT POSITION ONLY.}

_{YOU DO NOT WORK FOR WILLIAMS MARKETING AND MANAGEMENT, INC AS AN EMPLOYEE. YOU WILL BE RESPONSIBLE TO PAY YOUR OWN TAXES, TRAVEL EXPENSES TO AND FROM WORK LOCATIONS, AND HAVE ACCESS TO, OR OWN A TABLET WITH DATA TO PERFORM THE DUTIES OF THE JOB ASSIGMNEMTS.}

_{FURTHER MORE YOU MUST HAVE RELIABLE TRANSPORTATION WITH THE ABLITY TO CARRY ALL PRODUCTS AND OTHER MATERIALS NEEDED FOR WORK.}

_{AS AN INDEPENDANT CONTRACTOR YOU BE TRAINED AND ONCE TRAINED BE LEFT TO DO THE REQUIRED JOBS INDEPENDANTLY.}

_{A MANAGERS ROLE IS TO TRAIN YOU AND ASSIST WHEN NEEDED, BUT THIS DOES NOT INCLUDE TRANSPORTATION FOR WORK, OR SETTING UP TENTS, TABLES, CHAIRS, ECT.}

_{OUR TEAM OF MANAGERS ARE DEDICATED TO ASSISTING IN ALL OTHER AREAS TO ENSURE YOU HAVE THE OPPORTUNITY ALLOWED TO US ALL. WE'LL DO OUR PART, YOU MUST DO YOURS!}

Signature of acknowlegement*

I'm aware this is commission only?*

Can You Pass A Background Check?*

No Felony Charges Allowed

Available Work Schedule*

How Soon Can You Start Training?*

Training Location Sent Via Email

Best Time To Reach You*

Have you done Lifeline Before?*

Which Lifeline Company? / Why did you leave?*

In order to participate in the Lifeline Program you must have a Radid number. Please provide your Radid Number below. If you need to register for your Radid, please go back to the Join Our Team Page of the company Website.

Birthday*

MonthDayYear

What makes you a great fit for our organization? *

What makes you a great fit for our manager position *

Must explain in 50-100 words 0/200