Career Overview Questionnaire

Thank you for watching the Career Overview. Please fill out the questionnaire below to help us get to know you a little better.

First Name *

Last Name *

Preferred Name

Have you watched the Career Overview video? *

If not, please watch the entire video before completing this form.

Phone Number: *

Email Address *

City *

State *

Zip Code *

Upload Resume

Choose file or drag here

Supported format: JPG, JPEG, PNG

What are your top priorities? Select 3-5 *

Being part of a team
Salary Potential
Having a fulfilling career
Recognition
Advancement opportunities
Positive company culture
Independence
Flexible schedule
Training and development
Other

Are you a serious candidate for this position? Rate yourself on a scale from 1-10. *

1 2 3 4 5 6 7 8 9 10

Think of a 1 being "I don't think that this is the right fit for me" and a 10 being "Holy smokes! This checks all the boxes for me and I would do really well - PICK ME!!"

What aspects of the opportunity appeal to you the most? *

What is your biggest concern about the position? *

How long would it take you to afford the upfront cost of getting licensed? *

Every state requires a license to sell insurance. The cost is typically around $200.

Are you able to work full time? *

Do you have a VALID driver's license? *

Do you own a vehicle? *

Have you ever been convicted of a misdemeanor or a felony? *

If 'Yes' please give Date and Explanation

Misdemeanors, felonies, and pending charges may bar you from obtaining a license. List ANY information that will be found on an extensive background check.

Who did you speak with initially about the position?

Gregg
Carole
Corbin
Tom
Carla
JJ
Other

Thank you for submitting your application!

You should hear back from our leadership team within 48 hours.

Have a great day!

Thank you for submitting your application!

You should hear back from our leadership team within 48 hours.

Have a great day!

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