Sub-Agent Online Form

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Company Name
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There are required costs in getting your bail bond license which may vary from state to state. You will need a minimum of about $1,400 (NC) to $2,500 (SC, VA) to get started.

This amount covers the following:

Licensing Course(s)

Fingerprints

Licensing Application(s) with Department Of Insurance (DOI)

Final Exam

Partnership Contract with Amistad
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In addition, we are looking for self-driven individuals who are:

Goal-Oriented

Confident

Passionate

Budget-Minded

Self-Reliant

Humble

Resilient

Focused

Open-Minded

Involved and have a strong presence in their community

If this sounds like you, please continue completing this form.
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Do you have the minimum funds required?* This field is required.Please keep in mind that you will not be contacted if you answer "No" to this question.
Yes
No
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What state do you live in?* This field is required.
North Carolina
Virginia
South Carolina
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What county in North Carolina do you live in?* This field is required.
Alamance
Alexander
Alleghany
Anson
Ashe
Avery
Beaufort
Bertie
Bladen
Brunswick
Buncombe
Burke
Cabarrus
Caldwell
Camden
Carteret
Caswell
Catawba
Chatham
Cherokee
Chowan
Clay
Cleveland
Columbus
Craven
Cumberland
Currituck
Dare
Davidson
Davie
Duplin
Durham
Edgecombe
Forsyth
Franklin
Gaston
Gates
Graham
Granville
Greene
Guilford
Halifax
Harnett
Haywood
Henderson
Hertford
Hoke
Hyde
Iredell
Jackson
Johnston
Jones
Lee
Lenoir
Lincoln
McDowell
Macon
Madison
Martin
Mecklenburg
Mitchell
Montgomery
Moore
Nash
New Hanover
Northampton
Onslow
Orange
Pamlico
Pasquotank
Pender
Perquimans
Person
Pitt
Polk
Randolph
Richmond
Robeson
Rockingham
Rowan
Rutherford
Sampson
Scotland
Stanly
Stokes
Surry
Swain
Transylvania
Tyrrell
Union
Vance
Wake
Warren
Washington
Watauga
Wayne
Wilkes
Wilson
Yadkin
Yancey
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What county in Virginia do you live in?* This field is required.
Accomack County
Albemarle County
Alexandria city
Alleghany County
Amelia County
Amherst County
Appomattox County
Arlington County
Augusta County
Bath County
Bedford County
Bland County
Botetourt County
Bristol city
Brunswick County
Buchanan County
Buckingham County
Buena Vista city
Campbell County
Caroline County
Carroll County
Charles City County
Charlotte County
Charlottesville city
Chesapeake city
Chesterfield County
Clarke County
Colonial Heights city
Covington city
Craig County
Culpeper County
Cumberland County
Danville city
Dickenson County
Dinwiddie County
Emporia city
Essex County
Fairfax city
Fairfax County
Falls Church city
Fauquier County
Floyd County
Fluvanna County
Franklin city
Franklin County
Frederick County
Fredericksburg city
Galax city
Giles County
Gloucester County
Goochland County
Grayson County
Greene County
Greensville County
Halifax County
Hampton city
Hanover County
Harrisonburg city
Henrico County
Henry County
Highland County
Hopewell city
Isle of Wight County
King and Queen County
King George County
King William County
Lancaster County
Lee County
Lexington city
Loudoun County
Louisa County
Lunenburg County
Lynchburg city
Madison County
Manassas city
Manassas Park city
Martinsville city
Mathews County
Mecklenburg County
Middlesex County
Montgomery County
Nelson County
New Kent County
Newport News city
Norfolk city
Northampton County
Northumberland County
Norton city
Nottoway County
Orange County
Page County
Patrick County
Petersburg city
Pittsylvania County
Poquoson city
Portsmouth city
Powhatan County
Prince Edward County
Prince George County
Prince William County
Pulaski County
Radford city
Rappahannock County
Richmond city
Richmond County
Roanoke city
Roanoke County
Rockbridge County
Rockingham County
Russell County
Salem city
Scott County
Shenandoah County
Smyth County
Southampton County
Spotsylvania County
Stafford County
Staunton city
Suffolk city
Surry County
Sussex County
Tazewell County
Virginia Beach city
Warren County
Washington County
Waynesboro city
Westmoreland County
Williamsburg city
Winchester city
Wise County
Wythe County
York County
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What county in South Carolina do you live in?* This field is required.
Abbeville
Aiken
Allendale
Anderson
Bamberg
Barnwell
Beaufort
Berkeley
Calhoun
Charleston
Cherokee
Chester
Chesterfield
Clarendon
Colleton
Darlington
Dillon
Dorchester
Edgefield
Fairfield
Florence
Georgetown
Greenville
Greenwood
Hampton
Horry
Jasper
Kershaw
Lancaster
Laurens
Lee
Lexington
McCormick
Marion
Marlboro
Newberry
Oconee
Orangeburg
Pickens
Richland
Saluda
Spartanburg
Sumter
Union
Williamsburg
York
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Full Name* This field is required.
First Name
Last Name
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Are you at least 21 years old?* This field is required.
Yes
No
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Are you at least least 18 years old?* This field is required.
Yes
No
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Phone Number* This field is required.
Area Code
Phone Number
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Email* This field is required.
example@example.com
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Do you currently hold an active bail bond license?* This field is required.
YESNO
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Have you already attended and passed a bail bond class?* This field is required.
YESNO
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When do you anticipate attending class?* This field is required.
Next Available Class
within 1-3 months
within 3-6 months
Not Sure (Need More Info)
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Are you a home owner?* This field is required.
Yes
No
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Do you have a HS/GED Diploma?* This field is required.
Yes
No
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Do you have any military or law enforcement background?* This field is required.
Yes
No
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Have you ever had any felony convictions any where in the USA?* This field is required.
Yes
No
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Have you had any felony convictions in the past 10 years?* This field is required.
Yes
No
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Do you have any child support arrears?* This field is required.
Yes
No
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Have you had any bankruptcies in past 10 years?* This field is required.
Yes
No
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Do you currently have any active judgements?* This field is required.
Yes
No
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Please provide a Brief Bio about yourself:* This field is required.ex: Place of birth, education, hobbies, work experience, etc.
Should be Empty: