ONBOARDING FORM
New Agent Information
First Name
*
Last Name
*
Email
*
Phone
*
Agents Equis Financial #
*
Licensing Status
*
Licensing Status
Licensed
Unlicensed (STOP FORM, agent must be licensed for this form to be completed)
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Is the agent contracting as a business entity?
*
Yes/No
Yes
No
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Regional Manager Name
*
Regional Manager Name
Chris Tinsman
Cody Beck
Deb Johnson
Eric Valdez
Greg Archer
Jason Patello
Ken Coury
Matthew Wilson
Vincent Pedone
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Hiring Manager Email
*
(To receive progress update)
Additional manager email for agent progress updates.
Manager Comments/Notes
SUBMIT