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STI Agent Registration Form
Attention New Agents:
New agents must be contracted for at least 8 weeks to be eligible to attend the Sales Training Institute.
I affirm the following information, have paid the required registration fees*, and request enrollment
in the Sales Training Institute indicated below**
Agent Name
Email
Manager
Which session
will you be attending?
January 30 - February 2
February 19 - 23
March 19 - 23
May 21 - 25
Do you need lodging?
Yes
I further affirm that...
I have completed all of the necessary prerequisites for attending the Sales Training Institute.
I agree to be prepared for training, and to act in a professional manner at all times during the Sales Training Institute.
Additionally,
I agree to notify my Agency Manager of any cancellation no less than ten (10) days prior to the beginning date of the session indicated above
.
I understand that by failing to provide the appropriate notification (in the event of cancellation)
I assume responsibility for any financial (or other) penalties
that may be assessed by American Republic.
I certify that I have...
check all that apply
Earned a certificate of completion for the SOAR on-line training program.
Demonstrated the ability to successfully complete a policy application.
Demonstrated the ability to successfully calculate premiums (HSA and Medicare Supplement) using a rate sheet and calculator.
Received training on, and has a basic understanding of, the fundamentals of the 7-Steps Sales Process.
Witnessed a minimum of five (5) sales presentations, presented to genuine prospects, and given by myself or another licensed American Republic sales professional.
I have read and understand all of the above and agree to all terms and conditions.
My checking this box constitues my signature on this registration form, my having read and understing this form and my agreement to all terms and conditions.
I have been contracted as an Agent with American Republic Insurance Company for at least 8 weeks.
* Any expenses above and beyond registration fees (including travel expenses) are the responsibility of the student/agent.
** Seating for the sessions is limited and applicants will be enrolled on a first come/first served basis.
Copyright ® 2005 American Republic Insurance Company
Reproduction or use for any purpose without explicit permission is strictly prohibited.
