THE FINANCIAL LEADERSHIP ACADEMY                                                                           888-779-8972


Making Money Work hard for You, So You Don't Work So Hard For Money!

Ambassador Application

Ambassador Application

We review every application which is accompanied by your refundable deposit. Completed applications will be reviewed chronologically, and selection of licensees will be made on a first come first served basis.
 
If your approved application was time stamped 1 minute before another in your same zip code, you will be the license holder or our Ambassador for that area. The applicant who submitted a minute too late can work under your agreement as an Associate Ambassador through your organization.
 
 The monthly licensing fee enabeling you to have exclusive rights to our educational materials in your area is only $199.95 per month.  After completing this application you will be automatically directed to a page where you can securely submit your payment information, which will be charged monthly.
  
This system is not difficult, but does require some effort on your part. If you are not willing to work this system and give it the attention necessary, STOP HERE so someone else can secure the licensing rights to your area.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Years experience as an agent:
Annualized life premium written in 2011:
Are you securities licensed? (not necessary to be an Ambassador):
Your website (if applicable):
How did you hear about us?:
What are your career goals for the next 2 years?:
How do you see our program helping you achieve those goals?:
Comments: