YOUR GRAND OPPORTUNITY
NEW AGENT INFORMATION FORM
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Do you have a life insurance license?
Yes
No
If yes, how many companies are you licensed with and what do you sell?
Are you Spanish/bilingual?
Yes
No
Are you currently employed? If yes where and for how long?
Have you ever sold Final Expense, or worked in sales? If yes how long and for what company?
Why are you interested in selling Final Expense?
Are you willing to travel? (Driving an hour to an hour and a half or more away from home for appointments and meetings.)
Yes
No
Are you willing to work a minimum of 45hrs per week?
Yes
No
Are you open to following our proven system of selling?
Yes
No
What are your long term financial Goals?
We only have a couple positions to fill. Why should we contact you?
How did you hear about us? (AGENT_NAME) FACEBOOK/CRAIGSLIST/INDEED/ZIP RECRUITER/OTHER
What city and state do you live in?
Submit
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