Weekly Activity Tracker

Please complete the form below each week if you are a FREE Lead or Impact Agent. This will help us keep these programs available for years to come. Please input as accurate of data as possible.

Today's Date

Name:

Total Number of Applications:

Number of Presentations from Appts:

Manager/Builder's Name:

Number of Presentations from DK:

Did you write any Direct Express business this week? If so, please enter the AP amount from DE cards.

Direct Express Annualized Premium:

Total Number of Appointments:

Are you planning on working a full week next week? If NO, please explain in the comments below!

Yes

If you answered yes to the above question, please elaborate

Please fill out the lead credit request at the top of this page for any lead credits you had this week! You can email the completed form to your manager or send a picture of it.

Lead Credit Guidelines:

P.O. Box & No Phone Number

Under Age 50 or Over Age 85

Deceased/Dead Written on the Card

Duplicate Lead Within 90 Days

Additional Notes/Comments:

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Total Annualized Premium: