Amador Risk Advisors — Advisor Network Application

1
Full Name* This field is required.
First Name
Last Name
2
Mobile Phone* This field is required.
Please enter a valid phone number.
3
Email Address* This field is required.
example@example.com
4
City & State* This field is required.
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Preferred Language* This field is required.
English
Spanish
Bilingual
6
How did you hear about Amador Risk Advisors?* This field is required.
Current ARA Advisor
Referral
Social Media
Industry Contact
Former Colleague
Event / Training
Other
7
Who referred you?
8
Are you currently licensed to sell insurance?* This field is required.
Yes
No
Currently studying / preparing for exam
9
If YES
Resident State
National Producer Number (NPN)
License Number
10
Which licenses do you currently hold?
Life
Health
Life & Health
General Lines (Personal & Commercial)
Personal Lines
Other
11
In which states are you currently licensed?
12
How long have you been licensed?
Less than 1 year
1–2 years
3–5 years
6–10 years
10+ years
13
If NO / Studying: Which license are you pursuing?
Life
Health
Life & Health
General Lines (Personal & Commercial)
Personal Lines
Other
14
Expected licensing date
Date
Month
Day
Year
15
Which lines of business have you sold?* This field is required.Select all that apply.
Life & Financial Protection
Health
Personal Lines P&C
Commercial Lines P&C
16
Which area would you primarily like to build with Amador Risk Advisors?* This field is required.
Commercial P&C
Personal P&C
Life
Health
Not Sure Yet
17
Are you currently affiliated with another agency, IMO, FMO, or brokerage?* This field is required.
YESNO
18
If yes: Agency / Organization Name
19
Which product lines are you currently contracted through them for?
20
Would joining ARA require any carrier releases or contract changes?
Yes
No
Not Sure
21
Approximately how much insurance production did you personally write during the last 12 months?* This field is required.
New / No Production Yet
Under $25,000 Annual Premium
$25,000–$50,000
$50,000–$100,000
$100,000–$250,000
$250,000+
Prefer to discuss
22
How are you currently generating business?* This field is required.Select all that apply.
Personal Network
Referrals
Purchased Leads
Social Media
Cold Calling
Door-to-Door / Field Sales
Networking
Existing Book of Business
Cross-Selling Existing Clients
Employer / Community Relationships
Other
23
Do you currently have an existing book of insurance clients?* This field is required.
YESNO
24
If yes: Approximately how many active clients?
25
Which best describes your current sales ability?* This field is required.
I'm new to sales and need structured coaching.
I understand sales fundamentals but need more consistency.
I can independently prospect, present, and close.
I am an experienced producer with a proven process.
I have led or trained other producers.
26
Which part of the sales process do you need the most help with?* This field is required.
Prospecting
Starting Conversations
Needs Analysis / Discovery
Presentations
Handling Objections
Closing
Follow-Up
Referrals
Cross-Selling
Building a Consistent Pipeline
None / I have a strong process
27
What are you looking for from an agency relationship?* This field is required.Select up to 5
Carrier Access
Competitive Compensation
Sales Training
Product Training
Case Design Support
Quoting / Placement Support
CRM & Technology
Marketing Support
Lead Opportunities
Mentorship
Accountability
Cross-Selling Opportunities
Commercial Insurance Support
Life Insurance Support
Health Insurance Support
Long-Term Career Growth
Leadership Opportunities
28
What would make this partnership valuable to you?* This field is required.
29
Are you comfortable operating as an independent 1099 producer responsible for managing your own schedule, prospecting activity, licensing requirements, and business expenses?* This field is required.
Yes
No
I would like more information
30
Are you willing to use ARA's required CRM, compliance procedures, and client documentation standards when conducting business through the agency?* This field is required.
YESNO
31
Are you willing to participate in training and ongoing development?* This field is required.
YESNO
32
How many hours per week do you realistically expect to dedicate to building your insurance business?* This field is required.
Under 5
5–10
10–20
20–30
30–40
40+
33
What is your primary reason for building an insurance business?* This field is required.
Additional Income
Full-Time Career
Build My Own Book of Business
Transition From Another Career
Expand My Existing Financial / Insurance Practice
Build an Agency or Team
Other
34
What is your income goal from insurance over the next 12 months?* This field is required.
Under $25,000
$25,000–$50,000
$50,000–$100,000
$100,000–$250,000
$250,000+
Other
35
Where would you like your insurance business to be three years from now?* This field is required.
36
Why are you interested in partnering with Amador Risk Advisors?* This field is required.
37
What would make you a strong addition to the ARA Advisor Network?* This field is required.
38
Upload Your Résumé
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Max. file size: 10.6MB
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39
Final Acknowledgment* This field is required.
I understand that submitting this application does not guarantee acceptance into the Amador Risk Advisors Advisor Network, carrier contracting or appointments, employment, or compensation. I also understand that, after submitting my application, I will be directed to schedule an Advisor Network Introduction Call as the next step in the review process. Additional licensing, contracting, E&O, background, compliance, and onboarding requirements may apply if I am selected to move forward.
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