Agent Application

Phone *

Please take the time to list any questions you may have for us and let us know what your expectations or hopes would be from GITW Benefits, if offered a position.

6. What learning methods work best for you, and would you consider yourself as teachable? *

10. List some goals that you would like to attain in the next 5 years. *

1. What things are you passionate about in life? *

Location - City & State: *

Best Date and Time for Interview (M-F) *

From

9. If we decide to work together, what does “GO" look like to you, and how much time could you commit each week to this opportunity? *

5. Do you consider yourself a self-starter? Explain. *

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11. How did you hear about the opportunity with GITW? *

7. Explain your Technology experience, including the hardware and software that you use. *

4. Tell us about any sales experience you have? *

Email: *

2. What are you doing for work right now, and why are you looking at an opportunity to work with GITW Benefits? *

Name: *

8. Have you ever had an insurance license before? If so, do you have any debit balances or issues on your record that would interfere with the appointment process? *

Please take the time to tell us a little more about yourself. After submission, we will contact you within 24 hours to discuss scheduling an interview.

New Agent Application

Time Zone: *

3. Explain your comfort level in talking to people, whether on the phone or in-person? *