Eirini Agency: Independent Life Insurance Agent Interest Form

First Name *

Last Name *

Email *

Phone *

City

State *

Country *

Postal Code

Preferred time slot *

EXPERIENCE AND MOTIVATION *

Are you currently licensed to sell life insurance ? *

Yes, I'm already licensed

No, but I'm willing to obtain my licensed

I'm not sure what is required

What appeals to you most about working in financial protection planning? *

Helping Families secure their future

Unlimited income potential

Flexible schedule and Independence

Building long-term clients satisfactions

This is an independent contractor(1099) position. Are you comfortable with? *

Setting your own schedule and working independently

Being responsible for building your own business

Commission-based compensation

How soon are you looking to start a career opportunity? *

Immediately

Within the next month

Within the next 2-3 months

Just exploring options

On a scale of 1-10 how serious are you about pursuing this opportunity? (1 - Just browsing, 10- Ready to commit) *

What questions do you have about this opportunity you'd like to discuss? *

what are your questions?

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.