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Virtual Sales Agent Application
Fill out the form below and our VSA Program Director will be in touch by phone or email to see if you're a good fit for our program.
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Full Name
Your answer
State
Your answer
Phone
Your answer
Email
Your answer
Number of Years Licensed
Your answer
Number of States Licensed in Currently
Your answer
Are you confident in your ability to communicate effectively over the phone and email?
Yes
No
Clear selection
Available hours M-F?
Your answer
Are you able to call on various weekends for a few hours?
Yes
No
Clear selection
Have you been convicted of a crime?
Yes
No
Clear selection
Have you had a bankruptcy or have any current bad debts or unpaid chargebacks?
Yes
No
Clear selection
Fluent in any other language besides English?
Yes
No
Clear selection
Go to
speedtest.net
and click “begin test”. Input your download and upload speeds below:
Your answer
What are the top 3 companies & products you've sold recently and why?
Your answer
Previous Employment. Where have you worked in your last 2 jobs (which includes as an independent or captive life insurance agent), (a) for how long and (b) what did you do?
Your answer
If you have a Linkedin profile, please enter the URL here:
Your answer
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