Producer Application

Sales Employment Application

Fill the form below accurately indicating your potential and suitability for the job you are applying for.
JOB DESCRIPTION OVERVIEW

We have a job opening for a remote Licensed Insurance Sales Representative .Must be a licensed representative holding an active Property and Casualty license & active Life and Health license. Our sales team's mission is to meet and exceed agency revenue growth goals, meet sales quotas and improve conversion rates.
ROLES & RESPONSIBILITES

Revenue Growth: Increase sales revenue by a certian percentage within a specific time frame

Sales Quota: Meet or exceed individual or team sales quotas

Conversion rate: Improve the conversion rate of leads to clients

Customer Acquisition: Acquire a certian number of new customers within a certian time frame

Customer Retention: Retain a certian percentage of existing customers

Product/Service Penetration: Increase sales of specific products or services

Sales Process Improvement: Impliment and adhere to a consistant sales process

Pipeline Growth: Increase the number of opportunities in the sales pipeline

Forecast Accuracy: Improve the accuracy of sales forecast
APPLICANT INFORMATION
Name:*

First NameLast Name
Phone Number:*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:*

MonthDayYear
Date
Are you bilingual?*

YESNO
Have you ever served in the military?*

YESNO
If yes, which branch:
How were you referred to us?*

EmployeeFriendInternet Job AdOther
Other (please specify):
Upload Resume:*

Upload a File

Cancelof
Employment Type*

Sales TeamHybrid
Employment Type*
Inbound call availibility (Remote)*

Part-TimeFull-TimeFlexibleOther
INSURANCE EXPERIENCE
Have you ever worked with State Farm?*

YESNO
If Yes, years of experience:*
Which department did you work in?*

ServiceSalesBoth/Hybrid
What Licenses do you currently hold?*

P&CLife & HealthSecuritiesOther
State Farm Email
example@example.com
REFERENCES

List two (2) professional references.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Years Known:*
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Should be Empty:

Sales Employment Application