Application Questionnaire
Full Name
*
First Name
Last Name
Nickname/name do you prefer to be called?
Email Address
*
example@example.com
Best Contact Number
*
-
Area Code
Phone Number
Location
*
Street Address
Street Address Line 2
City & State
State
Postal / Zip Code
How did you hear about us?
*
(Ex: Referred, job ad, website inquiry, etc.)
Who referred you to watch this video?
Please provide their name.
After watching the Career Spotlight video, where would you rate your interest on a scale from 1 to 10?
*
1
2
3
4
5
6
7
8
9
10
Not At All Interested
Extremely Interested
1 is Not At All Interested, 10 is Extremely Interested
Why?
*
What appeals to you most about the opportunity at Family Heritage? Why?
*
Based on things you've done in the past, what gives you the confidence you could do well at this?
*
What are some characteristics about yourself that make you a good candidate for a position with us?
*
What do you feel your current employer would say about your work ethic and how would they describe your attitude?
*
Are there any limitations on the schedule you would be able to work?
*
Yes
No
If yes, please explain:
Every state requires a license to sell insurance. The cost is typically $200-$300. The company has a reimbursement incentive where after you have sold a certain amount of policies, the company reimburses you for this cost, but you would be responsible for it upfront. Can you afford the cost of getting licensed?
*
Yes
No
The licensing and on-boarding process generally takes 2-4 weeks to process. Training is then an additional 1-2 weeks. It is generally 3-5 weeks from offer to first commissions, does this work for your schedule and timetable?
*
Yes
No
Do you currently have an iPad you would be able to use for this position? (Can't be any other tablet, must be an iPad)
*
Yes
No
While traffic offenses and most misdemeanors are acceptable, certain types of felonies will bar you from obtaining a license from the state and our company policy is to not work with people who have felonies on their record. Do you have any criminal history or pending misdemeanors?
*
Yes
No
If yes, please explain:
Do you have a valid driver's license and a reliable form of transportation?
*
Yes
No
What state is your drivers' license registered in?
e.g. North Carolina, South Carolina, etc.
Please take some time and write out any questions you may have now. If we move to the next step and get together, we can make sure they are answered.
What is the best day(s) and time to contact you about this application?
*
Upload Resume:
Browse Files
Cancel
of
Submit
Should be Empty: