WULG Licensed Advisor Application
WHINAtec Unity Life Group (WULG) | Division of Whinatec LLC | Thank you for your interest in becoming a WULG Licensed Advisor. Please complete the form below so our team can review your application.
Basic Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
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Licensing Status
Do you currently hold a Life & Health Insurance License?
Yes – I am currently licensed
No – I am willing to obtain a license
Currently studying for licensing
If licensed, What state are you licensed In?
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Professional Background
Current Occupation
Years of Professional Experience
0–2 years
3–5 years
6–10 years
10+ years
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Opportunity Interest
Which best describes your interest?
Part-time opportunity
Full-time career opportunity
Leadership / team-building interest
Exploring the opportunity
Event Participation
WULG Advisors may participate in executive educational events hosted at luxury venues.
Are you comfortable attending professional brunch or dinner events when needed?
Yes
No
Possibly
Referral (Optional)
Were you referred by a WULG-OIC Agent/Advisor or WULG-OIC Field Director?
Yes
No
If Yes: Referring Advisor/Director Name
First Name
Last Name
Referring Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
agentname@wulg-whinatec.com
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Agreement
Please check all
*
I understand that WULG Advisors operate as independent contractors.
I understand that compensation is commission-based and performance-driven.
Submitting this application does not guarantee acceptance.
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