OPTION 2 Form | MVP GLOBAL

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APPLICATION

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Select All that You Have

iPHONE

iPAD/Tabelt

LAPTOP

COMPUTER

INTERNET

Select All that Apply

LIFE LICENSE

SECURITIES LICENSE

HEALTH LICENSE

P&C LICENSE

SURPLUS LICENSE

CPA LICENSE

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As an unlicensed independent contractor Insurance agent, I UNDERSTAND that I will be responsible for paying for my own Licensing– which will be about $390 total before I can begin selling insurance.

As an independent contractor Insurance agent, I UNDERSTAND that I will have to buy my own leads– starting out at $500 for the week.

I UNDERSTAND that this is 100% commission ONLY, and there is NO guarantee of my success. I AM responsible for the outcome of the success of my business associated with MVP GLOBAL™ and do NOT hold MVP GLOBAL™ responsible for any failure otherwise.

ON BEHALF OF CARRIERS & DIRECTOR OF INSURANCE

FBI Background Check of Any "Breach of Trust"

This includes ANY Theft, Bankruptcy, Embezzlement, Battery, etc...

Exclude ANY Sealed, Expungements, DUI's, Traffic Tickets, or anything that happened as a Minor.

NOT all Civil or Criminal Offenses will cause you to be disqualified.

CIVIL: INFRACTION

CRIMINAL: MISDEMEANOR

CRIMINAL: FELONIES

This form is true and accurate to the best of my knowledge. I understand that fordging or lying on this application can result in my denial with MVP GLOBAL™, and possibly denial to practice solicating insurance perminently.

Your Signature

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