New Inbound Agent Submission
Existing Agent (pick from list, or choose New agent if not listed)
Please Select
Select an agent
Alexander Boone (Megan Rivera)
Allen Trumbach (Josh Mallery)
Allyson Corbin (Dashawn Currington)
Angelica Vargas (Dashawn Currington)
Ashleigh Fehr (Megan Rivera)
Austin Washington (Elijah Nobles)
Bendu (Elijah Nobles)
Burgandi Olivia Meitler (Elijah Nobles)
Casonya Richardson (Jordan Little)
Chanel Chen (Megan Rivera)
Chauntel Bender (Dashawn Currington)
Chaz Chandler (Megan Rivera)
Chrystyan Nodarse (Chrystyan Nodarse)
Cory Goicoechea (Megan Rivera)
Dashawn Currington (Dashawn Currington)
Dejon Young (Elijah Nobles)
Eduardo Fernandez (Megan Rivera)
Elijah Nobles (Elijah Nobles)
Eric Walker (Eric Walker)
Iris Gonzalez (Megan Rivera)
James Riley (Elijah Nobles)
Jasmine Rodriguez (Jordan Little)
Jason Simmons (Chrystyan Nodarse)
Jennifer Lopez Ortega (Chrystyan Nodarse)
Joel Gonzalez (Megan Rivera)
John Lee Adames (Jordan Little)
Jordan Little (Jordan Little)
Josh Mallery (Josh Mallery)
Kevin McCrea (Jordan Little)
Kimone Fullerton (Megan Rivera)
Laniesha Britt (Dashawn Currington)
Lavelle Yancey (Dashawn Currington)
Lemuel Koroma (Jordan Little)
Liodey Sanchez (Jordan Little)
Luis Manso Selema (Josh Mallery)
Marcus Heyder (Jordan Little)
Marcus Turner (Megan Rivera)
Marvins Dominique (Dashawn Currington)
McKay Platt (Chrystyan Nodarse)
Megan Rivera (Megan Rivera)
Michelle Perez (Dashawn Currington)
Nelson Lamproglou (Jordan Little)
Patrick Brantley (Dashawn Currington)
Savon Robinson (Megan Rivera)
Stanley Philogene (Dashawn Currington)
Steven Gold (Chrystyan Nodarse)
Thomas Parrish (Jordan Little)
Tony Khuu (Megan Rivera)
Tristan Battle (Dashawn Currington)
Troy Thaxton (Megan Rivera)
Tykia Slater (Elijah Nobles)
Winston Clarke (Dashawn Currington)
New agent (not listed)
New Agent Full Name (only if you selected New agent above)
First Name
Last Name
Upline Name
Please Select
Select an upline
Megan Rivera
Jordan Little
Dashawn Currington
Chrystyan Nodarse
Eric Walker
Dasia Hason
Harrison Curry
Josh Mallery
Benjamin Levy
Upline Email
example@example.com
Agent Email
example@example.com
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Does the agent have their required states needed for the inbound program?
Yes
No
Has the agent completed the Virtual Inbound Orientation? (https://academy.eternaops.com/)
Yes
No
Does the agent have 3 of the required LOA carriers?
Yes
No
Did the agent self term outside carriers? (submit proof here: https://form.jotform.com/261804501354046)
Yes
No
Has the agent attended an Eterna orientation? (register here: https://us06web.zoom.us/meeting/register/gZ95NktjQF-gniqSvh3Qrw )
Yes
No
Has the mentor gone through the script and spark expectations with the agent?
Yes
No
Does the agent have access to the Eterna Portal & Discord?
Yes
No
Additional Notes or Requests
Submit
Should be Empty: