Agent Openings: Online Application

Contact Information

Fill in the following fields to get started. (* indicates required field)

First name *

Last name *

Street address *

City *

State *

Zip code *

Home phone number *

Work phone number

Cell phone number *

E-Mail address *

Business Experience

Current or Most Recent Employer *

Address *

City *

State *

Zip code *

Your position, description of duties, experience and accomplishments *

Employment Dates *

Current Annual Income
	(optional)

Have you ever been self employed? What type of business? Length of operation: *

Are you directly involved in buying or selling automobiles as a dealer or broker? * Yes No

Do you buy and sell cars as a private seller? * Yes No
If so, how many per year?

Do you have any car show judging experience? * Yes No

Do you have any sales and marketing experience? * Yes No

How many auto shows/events do you attend a year? *

Provide previous experience or other information you think would be helpful to us in considering you for this opportunity. (Additional work experience, paid or unpaid, auto club relationships, make and model expertise, appraisal, sales, marketing, photography, restoration experience, etc.):

How did you hear about Auto Appraisal Group? *
In what geographical area would you like to develop appraisal business? Include major cities and state lines: *
U.S Service Experience: If in the service indicate branch, date entered, date discharged, highest rank or grade, type of discharge, terminal rank or grade: *
Have you been convicted of a crime other than traffic violations? *
No Yes	Explain:
Give name, address and phone number of three references who are not related to you. References may or may not be previous employers.
Reference 1: *
Reference 2: *
Reference 3: *
By submitting this form, I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this independent agent application as may be necessary in arriving at an agency candidacy decision.

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Now accepting applications.