Power One Mortgage Corp., Licensed Correspondent Mortgage Lender

APPLICATION BROKERS
"Before everything else, getting ready is the secret of Success!"

If you would like to Join our winning team, complete the following questionnaire.
Our Marketing Director will contact you with our decision.

PERSONAL INFORMATION

(* required)
Name *
Address
Home Phone Number *
Mobile
EMail- Address *
Mortgage License Number *
What is your commission split now %
Have you been convicted of a felony within the last 7 Years?	Yes No
If YES, Explain (Not necessarily exclude you from consideration)
Do we have your authorization to pull a criminal report if you became a broker with PowerOne Mortgage?	Yes No

BUSINESS FOCUS

Are you a Licensed Mortgage Broke?	Yes No
How long have you been working on the mortgage industry?
Are you a Real Estate Agent?	Yes No
Are you looking for a part time or Full time position?
Do you have a web site?	Yes No www.
Are you interesting in a manager Position?	Yes No
If yes, how soon can you start?	months

MARKETING

List all your marketing activities over the last 2 years

CLIENT FOLLOW-UP

Describe your client follow-up system.

We have a mandatory meeting ONCE a month, are you willing to attend

Yes No

Thanks for taking the time to complete this form; we assure you that TODAY can be the first day of a new life

I certify that the facts contained in this application are TRUE and Complete to the best of my knowledge and understand that if I'm hire, falsified statements on this application shall be grounds For dismissal

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Date

"The secret of Success is constancy to purpose"