Globe Life University Academy Form | Globe Life Liberty National Division

Liberty National Academy

201 Application

Do you need a vegetarian meal?

YesNo

Do you have food allergies?

YesNo

DCN:

Persistency:

Personal 4 week net submit average ($):

Personal 13 week net submit average ($):

Team Production 4 week net submit average ($):

Team 13 week net submit average ($):

Agency Production 4 week net submit average ($):

Agency 13 week net submit average ($):

Agency FYA net submit year-to-date ($):

What are your Goals as an Agency Director?:

What areas would you think are most important to cover in the meeting?:

Who is paying for your transportation to the GLU? You or agency?

Are you a personal recruit?:

Enter security code:

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