I. Personal Information

Full Name *

Phone *

Email *

Address

Street Address *

City *

State *

Country *

Postal code *

II. Licensing & Work Eligibility

Do you currently hold a life insurance or investment license? *

Yes

No

Which license(s) are currently active? *

Life Insurance

Investments

Both

Are you 18+? (Must be to apply) *

Yes

No

Do you currently possess a valid SSN? *

Yes

No

Are you a U.S. Citizen or authorized to work in the United States? *

Yes

No

Are you willing to take a 32-hour course to obtain your state license? *

Yes

No

III. Work Preferences

Are you interested in? *

Full Time

Part Time

Are you open to commission-based income? *

Yes

No

Occupation *

Instagram / TikTok Username

IV. Contact & Availability

Who invited you to apply? *

Daja Lee

Jordan Lee

Other

Please enter the name of the person who invited you to apply. *

Best Time to Reach You? *

Mornings

Afternoons

Evenings

Final Consent

Depending on their schedule, a Finance Therapy Group Representative will be giving you a call the same day or within the next 48 hours.

My signature below indicates my consent to be contacted regarding this opportunity. *

Clear