New Agent Application - Better Days Healthcare

Learn How You Can Create a 6 Figure Income & Beyond in the Insurance Industry in as Little as Your First Year

The opportunity with Better Days Healthcare is truly unlimited. We are operating throughout every state in the United States and are rapidly expanding into new territories in the very-near future. We are looking to partner with hard-working and dedicated individuals.

Simply fill out this short application and our hiring team will be in contact with you to discuss the opportunity with you in more detail. Please answer honestly and briefly, as your responses will not exclude you from joining. If a question does not apply, mark it “N/A”. This questionnaire is simply used to determine your fit within Better Days Healthcare. There are no right or wrong answers.

"*" indicates required fields

Name*

First Last

Phone*

Email*

Do you have a current and active life insurance license?*

Are you 18 years or older?*

Do you have a current and active health insurance license?*

Do you have previous sales experience?*

Do you have a valid driver’s license?*

Do you own reliable transportation?*

Are you looking to start part-time or full-time?*

Are you willing to take on commission based pay?*

Can you briefly tell us about your previous work experience?*

Do you consider yourself self-motivated? Provide an example.*

What city / state do you live in?*

City State / Province / Region

How did you hear about us?*

Name

First Last

Current occupation or job title?*

Have you been in contact with a Better Days Healthcare agent in the past? If so, what was their name?*

What made you interested in insurance and why Better Days Healthcare?*

Is there anything else you would like to tell us about yourself?*