Request an Interview

THE BLAKE GROUP

Please fill out the form below to Request an Interview.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

How did you hear about us? *

Internet Search Advertisement Friend/Acquaintance Job Posting Social Media Other

If a specific person referred you, please list their name: *

Are you licensed to sell life insurance? *

If you are not licensed, are you willing to obtain one? *

Do you have reliable transportation? *

Are you looking for full-time or part-time? *

What ONE skill makes you the most qualified for this position? *

I'm sure there are many! But please only list one.

To date, what professional achievement are you most proud of? *

I'm sure there are many! But please only list one.

Tell us about one time that you overcame a challenge. *

Why are you leaving your current employer? *

If you are licensed, please complete the following:

How long have you been licensed and what products have you sold? *

What was your personal production last year? Last month? *

This is a two-part question. Please answer both.

Are you open to following a proven system of selling, without variance? *

Yes No

Do you owe any money to an insurance company? *

Yes No

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

I agree to receiving marketing and promotional materials *

Submit

The Blake Group
8963 Stirling Road #7
Cooper City, FL 33328