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Scholarships

Criteria for Consideration

First time participant in the indicated designation program
Employed full-time in the insurance or risk management industry
For CIC and CRM it is recommended the individual has a minimum of two years’ industry experience
Must take any applicable examination – a passing grade is not required
Demonstrates a commitment to professional continuing education

CIC Scholarship
CISR Scholarship
CRM Scholarship
CISR OnLine Scholarship

Last Name
First Name
Agency
Address
City
State
Zip
Phone
Email

1. What professional designations does this individual hold?

2. Has the individual ever attended a CIC, CRM or CISR program?
yes no

3. Would this individual give the necessary time to attend an institute or course and continue toward the designation? yes no

4. Does the individual receive any financial assistance for his or her education from other sources (employer, organization, company sponsor)?
yes no

5. Why does this individual want or need this scholarship? Explain why it is needed and how the individual can give back to the industry.

6. Please use the space below to give a brief description of the individual’s work experience, commitment to professional advancement, or other reasons for consideration.

Nominated By Check to use information above
Last Name
First Name
Agency
Address
City
State
Zip
Phone
Email