• Temporary Benefit Counselor Application

    Thank you for applying to become a Temporary Benefit Enrollment Counselor with United Schools Associates. Please complete the form below.
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Temporary Benefit Counselor Application

  • Do you have an active Life and Health License for Insurance?*
  • Have you ever been convicted of a felony (excluding sealed or expunged records, and convictions not permitted by law to be considered)?*

  • Additional Questions

  • Will you be available to attend the mandated training on October 22–24, 2026, as well as participate on the open-enrollment period from October 26 to November 7?*
  • Do you have reliable access to your own transportation?*
  • This role requires completing the Chicago Public Schools background check. Are you willing to undergo the required fingerprinting within the next 48 hours?*
  • Is there anything in your background that could prevent you from being eligible to work in a school environment?*
  • Are you able to bring your own tablet/laptop for this work assignment?*
  • Are you willing to complete the USA University Self-Directed Training before the in-person training?*

  • Are you willing to complete the USA University Self-Directed Training before the in-person training? 


    To help you prepare for the October 22–24, 2026 Training Class, United Schools Associates will provide a self-directed online training through USA University, available beginning October 1, 2026.

    Completing this training will:

    • Help you prepare for the instructor-led training.
    • Allow you to earn additional training credits during the October training.
    • Potentially qualify you for Elite Status and additional performance bonuses.
  • Would you be willing to complete this self-directed training before attending the October 22–24 training?*

  • Disclaimer and Signature

  • I certify that my answers are true and complete to the best of my knowledge. If this application leads to a contract assignment, I understand that false or misleading information in my application or interview may result in termination of my contract.


  • Date
     / /
    2 digit month, 2 digit day, 4 digit year
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