The Foundation Team

Full Name

Email:

Phone:

Address

City

State

Zip Code

Are you Spanish speaking/Bilingual?

Yes

No

Are you a licensed insurance agent?

Yes

No

If you are licensed, how many companies are you licensed with and what type of insurance do you sell?

If you are not licensed, are you currently employed?

Yes

No

If you are not licensed, what was your annual income last year? Last month?

If you are licensed, what was your personal annual production last year? Last month?

What is the longest time you have held one job or worked for one company?

Are you looking for a full-time or part-time position?

Full-Time

Part-Time

If you are currently employed, what do you like or dislike about your current position?

What interests you about selling final expense insurance?

What do you see as your biggest weakness?

What are your strengths?

On a scale of 1-10 (10 being the best), rate your closing ability?

On a scale of 1-10 (10 being the best), rate your work ethic?

On a scale of 1-10 (10 being the best), how trainable are you?

On a scale of 1-10 (10 being the best), what is your commitment on selling one product?

Are you willing to work a minimum of 45 hours per week?

Yes

No

Are you willing to work after 5pm?

Yes

No

Do you have experience scheduling appointments over the phone?

Yes

No

Are you open to following our proven system of selling without variance?

Yes

No

List your short-term goals:

List your long-term goals:

How would your friends and associates describe you?

Why should we contract you?