Southern Damage Appraisals Roster Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Can You Pass A Criminal Background Check?
*
Yes
No
Do You Have A General Knowledge of Construction?
*
Yes
No
Are You A Licensed Independent Insurance Adjuster?
*
Yes
No
If Yes, How Many Claims Have You Handled?
*
0 - 100
100 - 500
500+
Are you Rope & Harness Certified?
*
Yes
No
If No, Are You Willing to Become Rope & Harness Certified?
*
Yes
No
Are You A Haag Certified Inspector?
*
Yes
No
If No, Are You Willing to Become HAAG Certified?
*
Yes
No
Are You Willing To Participate In Our On The Job Training Program In Tennessee For 3 to 6 Months
*
Yes
No
On A Scale From 1 -5, Where Would You Rate Your Xactimate Skills?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What State Is Your Home State License?
*
List The States You Currently Hold An Active License In?
*
Do You Currently Have Any Specialty Training and/or Industry Certifications? If so, Which Ones?
*
Why Do You Feel You Would Would Be A Good Fit To Join The SDA Team?
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