Referral Name Please Select JOSE ECHAVEZ (Director Ejecutivo) ANGELINA PADRÓN (Manager de operaciones) Choose the Campaign of yout interest Excess Telecom Standup Wireless Assurance Wireless Gen Mobile Verizon Fios Free Home Internet Agent Rep-(NY Only) Spectrum Low cost Home Internet-(Most States) ACA(Agent)- Individual/Family Health Insurance Medicare And Essential Plan Broker/Agent Medical device Sales - Program Home Care Referrals - Program Full Name (Exactly as shown on drivers License or ID card) Date of Birth Social Security Cell Phone Number Email Shirt Size Please Select S M L XL 2XL 3XL Current address move in date? Current Address (NO, PO Boxes) RAD ID (If not registered, please ask your manager) Photo of unexpired DL/ID Photo of social security card & Driver license/ID In the same picture: Headshot Photo (no selfie filters): Example of Headshot Photo Please be on the lookout for an email from us that will contain different links which you need to fill out, please review it and submit as soon as you receive it! Yes! I understand No! I don't want to work!
Do you have Lifeline experience? (Not Required) Yes No
If yes, which companies have you worked for?
Do you have Reliable transportation? Yes No
Do you have an Android Smartphone and data connection? Yes No
Do you understand and accept that this position is a 1099/CONTRACTOR with commission based compensation and not hourly pay. Yes! We make more that way! No! your application will be discarded
Tell us about yourself!
By submitting this application you agree to provide your information for a potential 1099 contract with lifeline free Cell Phone and tablet Government program. You understand that if you agree to a contract you will be paid weekly according to our formula, and through a pay card or direct deposit of our choosing. Remember to work hard be great, consistent and smart". “See you in the other side I Agree! I want a job. No! I don't want a job.