Independent Travel Agent Application

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

State of Residence

Why are you interested in becoming a travel advisor?

Please describe any relevant travel, sales, or customer-service experience (all experience levels welcome).

How many hours per week are you available to dedicate to your travel business?

How would you find your first five potential clients?

Which travel specialties are you interested in? (Select all that apply)

Are you willing to complete supplier training and certifications as required?

Are you comfortable generating your own leads and growing your client base independently?

Are you willing to use the assigned agency email address and your own business phone for client communications?

Are you willing to join and participate in the Miracles Hope Travels agent community?

Desired Start Date

Date

Do you have any questions for Nicole?

Program Disclosure

Program Disclosure (Please Read):
This is an independent contractor, commission-based opportunity. There is no guaranteed salary or earnings. The commission split is a flat 50/50 on eligible supplier commissions. A $49 monthly agency fee applies; separate onboarding fees will be disclosed prior to commitment. You must obtain your own E&O insurance. Your public title will be Independent Agent of Miracles Hope Travels.

Privacy Note: Your information will be used by Miracles Hope Travels solely for recruitment and onboarding assessment. No sensitive personal information is being collected. Do not submit SSN, banking documents, IDs, or payments through this form.