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 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 personally helping protect families AND receiving an override income from a team of agents protecting families.Please 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)?*YesNoList 3 reasons why you feel you are a good fit with our company:*How did you hear about our company?*Career BuilderMyMapPlanCraigslistZip RecruiterFacebookOtherAgent (referral)What's the name of the agent you spoke to?* First Last