Dundas Brokers Application Form

Apply now to join the Dundas Brokers team!

Primary Email *

Type in your email address

Please tell us your contact info.

First Name *

Last Name *

Phone *

Permission to Contact *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from company. Message frequency varies. Message & data rates may apply. Text HELP to (647) 955-6188 for assistance. You can reply STOP to unsubscribe at any time.

How did you hear about us? *

Are you licensed to sell insurance? *

We only work with licensed agents.

At the Dundas Brokers, we exclusively recruit agents interested in selling life insurance remotely over the phone. Do NOT apply if you want to sell face-to-face. *

Yes, I am interested in life insurance telesales.

What is your Provincial License Number? *

Do you want to sell part-time or full-time with us? *

Full-time

Part-time

We welcome either into our agency!

Are you vectored or owe chargeback money back to an agency/carrier? *

Yes

Who is your current MGA or Agency (if any)? *

List your current agency/MGA.

Which final expense carriers are you currently appointed to?

List as many carriers below. Put N/A if not currently appointed to any carriers.

If you have any existing carriers associated with products you want to sell with Dundas Brokers, can you get a release if we select you? *

Yes

We get many applications but only select a few to join us. Why should we select you to join our team?

Please explain in detail why we should choose you to join Dundas Brokers.