Pre-Interview Questionnaire Name* First Last Phone*Email* City/State* City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Have you watched the corporate overview video?*YesNoWe are looking for "Go-Getters" who are serious about their career path. Take the 10 minutes to review this before you schedule your interview. All interviews will be rescheduled or cancelled if it becomes clear a candidate hasn't taken the initiative to familiarize themselves with the provided materials. Are you interested in working part time or full time?*Part TimeFull TimeHave you ever been convicted of a felony?*NoYesPlease explain what the felony was for and when it occurred:*Briefly describe your current or previous employment and the length of time employed:*What do/did you like MOST about your current or previous employment?*What do/did you like LEAST about your current or previous employment?*How much income are you accustomed to making?Less than $25,000$25,000 - $49,999$50,000-$74,999$75,000-$99,999$100,000-$149,000$150,000-$199,999$200,000-$249,000$250,000 or moreAfter watching the Corporate Overview, what did you like most about what you saw?*There are 2 types of agents. Please select which one describes you the best.*A personal producing Agent helping protect familiesAn Agency Builder helping protect families and receiving an override income from a team of agents protecting familiesPlease explain your answer above:*Which of the following best describes you?*I am orderly, methodical, and particular. I like to present facts objectively and in a systematic fashion.I am a get things done person, hard driving and aggressive. When presenting, I like to get to the point quickly and show people their options.I am an idea person, broad minded and imaginative. I like to present with enthusiasm and be innovative.I am sociable and friendly. I like to relate to other people involved and make it fun and enjoyable.When I decide to take a course of action with a company, I like to know:*It's creative and innovative.It's logical and in tune with the facts.It will have the desired impact and produce fast results.Those involved understand it and agree with it as much as possible.Do you currently hold a Life Insurance license?*YesNoAre you willing to take a 20 hour online course and pay for the licensing process (cost is state dependent and could range from $100-$200)?*YesNoYour State requires all persons to hold an Insurance license for this position. If you are not willing to earn this, do not apply. List 3 reasons why you feel you are a good fit with our company:*How did you hear about our company?*CraigslistCareer BuilderZip RecruiterFacebookI received an email regarding my resumeAgent (referral)What's the name of the agent you spoke to?* First Last Do you currently live in the United States and are legally allowed to work in the US?*YesNoThis position is highly regulated by State and Federal Laws. This position requires being a US citizen or having your Green Card. Candidates must conduct business while living within the United States. If you do not meet these requirements, do NOT apply.