Join The Retirement Advisor Council

The Council is now accepting applications from Professional Retirement Plan Advisor teams for terms starting January 1, 2019.  To apply, please complete and submit the application form below by November 30, 2018.  Alternatively, you may submit your application in writing to:

Eric Henon    
Executive Director        
Retirement Advisor Council    
61 Rainbow Road
East Granby, CT 06026

Email: ehenon@retirementadvisor.us
Fax: (860)838-2830
Phone: (860) 653-1705


Upon receiving your application, the Executive Director will schedule an interview with you, interview your reference client, and summarize the information for good-order applications to the Nomination Committee.   The Nomination Committee reviews good-order applications and submits a list of nominees to the Board for their review and approval.


Advisor Membership Application
  1. About you and your team

  2. 1. First, middle and last name:(*)
    Please type your full name.
  3. 2. Professional designations(*)
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  4. 3. Title(*)
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  5. 4. Name of your practice:(*)
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  6. Your email address:
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  7. Your phone number:(*)
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  8. 5. Are you a FINRA Registered Representative?(*)
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  9. 5a. Broker / Dealer firm through which securities are offered:
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  10. 5b. Broker / Dealer firm compliance:

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  11. 6. Are you personally subject to a disclosure reported or reportable in Question 14 of FINRA form U4?
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  12. 6a. If “Yes” to 6, please check all reported or reportable U4 disclosures (check all that apply)













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  13. 6b. If "Yes" to 6, list date of action:
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  14. 6c. If "Yes" to 6, please describe:
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  15. 7. Are you a Registered Investment Advisor?(*)
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  16. 8. Number of years you have been in the retirement plans business: (*)
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  17. 9. Website of your practice(*)
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  18. 10. Number of retirement plan advisors in your practice: (*)
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  19. About your business

  20. 11. Are you responding for:(*)

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  21. 12. Types of retirement plans served:
    (Check all that apply)(*)
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  22. 13. Number of plans served: (*)
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  23. 14. Number of participants in client plans (approximately): (*)
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  24. 15. Assets of retirement plans served
    (as of 12/31/2016): $ (*)
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  25. 16. Year-over-year percent change in assets of retirement plans served
    (2017 vs 2016):% (*)
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  26. 17. Scope of retirement plan services provided(*)
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  27. 18. Business activities other than retirement plans (*)
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  28. 19. Total revenue from Qualified Retirement Plans (INCLUDING corporate, not-for-profit, higher-education, private K-12, church Plans, government Plans but EXCLUDING IRA and public K-12) $(*)
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  29. 20. Percent of revenue from Qualified Retirement Plans (INCLUDING corporate, not-for-profit, higher-education, private K-12, church plans, government plans but EXCLUDING IRA and public K-12)(*)
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  30. 21. Revenue from business activities other than retirement plans $ (*)
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  31. Client Reference

  32. 22. Organization name: (*)
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  33. Name:(*)
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  34. Title:(*)
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  35. Phone number:(*)
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  36. Email address:
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  37. Plan type(s): (*)
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  38. Plan assets: $ (*)
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  39. Plan participants (approximately):(*)
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  40. Recommendation

  41. 23. Name of the current Council Member recommending you for membership:
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  42. Industry References

  43. 24. Please indicate below two references from the Retirement Plans industry in addition to the Council member who recommended you for membership.

  44. First Reference
  45. Name:(*)
    Please type your full name.
  46. Title:(*)
    Please type your full name.
  47. Firm or Organization:(*)
    Please type your full name.
  48. Firm Category
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  49. Phone Number:(*)
    Please type your full name.
  50. Email:(*)
    Please type your full name.
  51. Number of Years you have known this person:(*)
    Please type your full name.

  52. Second Reference
  53. Name:(*)
    Please type your full name.
  54. Title:(*)
    Please type your full name.
  55. Firm or Organization:(*)
    Please type your full name.
  56. Firm Category
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  57. Phone Number:(*)
    Please type your full name.
  58. Email:(*)
    Please type your full name.
  59. Number of Years you have known this person:(*)
    Please type your full name.

  60. Thought Leadership

  61. 25. In what industry organizations or initiatives are you or have you been involved?
    (Please describe the level of your participation in detail)
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  62. Comments

  63. 26. Additional factors you would like the Council to take into consideration in the review of your application
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  64. Council Involvement


  65. (*)
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  66. By submitting this form, I agree to participate actively in the workings of the Council and to attend at least one in-person meeting and to participate in at least one committee of the Council every calendar year during my term. My client reference and industry references have agreed to be interviewed in support of my application. I understand that my membership may be revoked at any time.