Rogers Agency Applicant Questionnaire

Candidate Questionnaire

Thank you for attending our company overview. Please fill out our questionnaire to help us get to know you a little better.
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

CityState / Province

Postal / Zip Code
On a scale of 1-10 how competitive are you?*
10 is highest
What appeals to you most about our career opportunity?
Based on your past experience, what gives you confidence that you would do well with us?
Why do you feel you would do well in our high performance sales culture?
Are there any limitations on the schedule you would be able to work?
If YES, please explain.
There may be occasions where some travel maybe involved with this position (training, company meetings, etc...) Do you have any travel limitations?
Everyone must pass a background check. While traffic offenses and most misdemeanors are okay, certain types of misdemeanors and any felonies will prevent you from being licensed and appointed. Do you have any criminal history that may prevent you from being considered for this role?
Each state requires a license to sell insurance.. The cost can range on average $150-$200 depending on state of licensure. We offer a reimbursement incentive, however you are responsible for the cost upfront. Do you have limitations that would prevent you from getting licensed?
What are three personal traits that have helped you be successful in your career(s)?*
Knowing that we all have some weak points, what are two of your weak points that you want to improve on?*
What are you looking to avoid in a career?*
Of these, what are the three most important factors in your next career?*

CultureCompensationStabilityGrowth OpportunitiesWork-Life Balance
Are you interested in being considered for the position and pursuing a 2nd interview?*

YesNo
How did you hear about this opportunity?*
Should be Empty:

Candidate Questionnaire