Are you the exceptional type we're looking for?
[2-3 minutes]
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Name
*
First Name
Last Name
Rest assuired, we will not spam you or use/sell your information outside of our Agency.
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Email
*
example@example.com
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Phone Number
*
Please enter a valid U.S. phone number.
Format: (000) 000-0000.
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Do you have your Life Insurance License?
License Answer
*
Please Select
Yes
No
It's okay if you are not licensed. We can help with that.
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Age and Residency
I currently live in the U.S. and am eligible to work.
*
Please Select
Yes
No
I am at least 21 years of age.
*
Please Select
Yes
No
In which State do you live?
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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How much Money are you looking to make?
Choose One
*
$1,500 - $5,000 per month
$5,000 - $10,000 per month
$10,000 - $20,000 per month
$20,000+ or more per month
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This Position is 100% Commission
How do you feel about that?
Choose One
*
That's the only way to achieve your true value!
I've never done it before, but I'm interested.
I really need the security of a steady paycheck.
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This position is 100% commission. It's not for everyone. If you're still interested, then please go back one slide and change your answer.
End or go back?
*
Ok, I'll go back and change.
It's not for me at this time.
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We're looking for people who have a history of hitting goals
Have you done any of the following?
Pick all that apply
*
Started my own business
Worked for 100% commission
Completed a Marathon (or other endurance race)
Lost over 50 lbs intentionally
Learned a skill that earned me over $200k/year
Published a book
Learned a second language
Other (I'll elaborate)
I've never sacrificed for a goal long enough to achieve it
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Elaborate on that. What was the goal you hit and what sacrifice did you make to achieve it?
Answer
*
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Video and Interview
Are you interested in scheduling a 1-on-1 interview to further discuss this opportunity?
*
Yes
No
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Please read before scheduling:
-ONLY schedule a time that works for you - that you are committed to and serious about attending.
Interview Appointment
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Thank you for completing our applicant questionnaire!
Please submit. We will not spam you or use your information outside of our agency.
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