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Distributors
Agents
Our Story
Lifeline/ACP Agent Application
Do you have experience as a Lifeline/ACP agent? If so, for which provider(s) and for how long?
On average, how many Lifeline/ACP orders do you do a week?
Do you have a valid state issued driver’s license or ID?
Yes
No
Do you have reliable transportation?
Yes
No
Are you 18 years or older?
Yes
No
Do you have a phone or tablet with internet access?
Yes
No
Can you pass a criminal background check?
Yes
No
How did you hear about us?
Craigslist
Indeed
Zip Recruiter
Web
Other
Tell us about yourself
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