Agent Recruitment Intake Form

Agent Recruitment Form

Provide your personal details, licensing status, and areas of certification to join our team.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
National Producer Number (NPN)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Current location (City / State)
Best method to contact you
Do you have previous experience in sales?
If yes, what sales experience do you have?
How many years of experience do you have as an insurance agent?
Have you worked remotely before?
They will be working remotley soliciting life aand or health insurancce products.
Are you aware that this is a your own schedule position?
Are you interested in a commission-only position?
Are you currently licensed as a life insurance agent?
Are you currently licensed in life and health insurance?
In which states do you currently hold a life insurance certification?

Other
How many hours a week can you dedicate to building your own business?
Are you looking for a part time or full time opportunity?
Are you comfortable speaking with clients over the phone / video?
Are you coachable?
Why should Chessmen Capital Partners consider you for this position?
I understand this is a performance-based opportunity with capped earning potential
Click the link below to select a convenient date and time to review your application and speak with one of our partners. Please note: Scheduling an interview does not guarantee employment. All candidates are subject to the application and selection process.
https://calendly.com/aceoffinancialllc/30min
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Agent Recruitment Form