Hiring New Agents Application

Application For Employment

With The Get A Policy Now Insurance Group

First Name

Last Name

Address

Street Address

City

State

Country

Postal code

Phone *

Email *

Are you currently licensed to sell life insurance?

Yes

No

No, but I'd like to get licensed

Are you currently licensed to sell health insurance?

Yes

No

No, but I'd like to get licensed

Are you currently licensed to sell P&C Insurance?

Yes

No

No, but I'd like to get licensed

How long have you been in the insurance industry?

What states are you actively licensed to do business in?

Do you currently hold active E&O coverage in place?e

Yes I do.

No, I need to get it.

No, working on it now.

Are you working with any other IMO or agency right now?

Yes

No

What are you most excited about with this opportunity?

Using ai to increase production

Training and gaining Experience

Helping families

The unlimited earning potential

Describe your ideal work setup

Using ai automated systems to book appointments

Using ai + Calling leads

I'm old School, I like calling and door knocking

If given a system that generates leads, follows up, and books your calls — how would you spend your time?

What does success look like for you in the next 90 days?

How comfortable are you with using tools like AI, SMS bots, and social media ads?

I'm tech heavy, I got it!

I'm familiar somewhat

I know nothing about but I am ready to learn

Which of these describes you best?

Goal-oriented with a strong sense of purpose

Entrepreneurial spirit and independence

Adaptability and technological fluency

Resilience and persistence

Strong interpersonal skills and client focus

Are you open to following a structured game plan and showing up to weekly accountability check-ins?

Yes, I'm ready put effort into a plan

I'd like to tweak it and do my own thing

Show me a plan that works better than my own

Why do you believe you'd be a great fit for our team?

If selected, are you ready to move forward and invest your time and energy into building a real business?

I'm ready!

Not yet ready

Not sure if I can commit the 20 hours a week it takes your team to follow the plan and make 8k minimum monthly

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