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APPLY NOW!

JOB APPLICATION

Please fill out the application below to be considered for an Independent Agent Opportunity:

First Name *

Last Name *

Address 1

Address 2

City

State

Zip

Home Phone *

Cell Phone

Other

Email *

How did you hear about us?

Select an option

Please enter the name of the person who referred you?

Are you 18 years or older?

How soon are you available for work? 1

WORK HISTORY - Please paste a summary of your work history in the box below. A completed Resume can be emailed to info@latsginc.com

EDUCATION - University/College or High School Information:

PROFESSIONAL REFERENCES - List the Name, Company/Title, & Telephone Number of three (3) References:

By selecting 'I agree' and clicking on the 'Send' button below, I certify that the information entered is true and correct to the best of my knowledge.

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