Kay Cooper Memorial Scholarship

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The scholarship recipient will receive complimentary tuition for the full CPIA certification.

Candidates for the scholarship must:

1. Be a current member of NAIW/IAIP;

2. Have never attended a CPIA class;

3. Have been active in the insurance industry for at least two years (however, a license is not required);

4. Be currently employed in the insurance industry or in insurance education;

5. Have shown a commitment to continuing education and professional development.

Please provide the information listed below:
First Name *		Last Name *
IAIP Chapter *
Agency/Organization *
Address Line 1 *
Address Line 2
City *
State *		Zip/Postal Code *
Phone *		Email Address *
• Work experience • Education • NAIW/IAIP service (boards, committees, awards, etc. [include dates]) • Professional activities/recognition (Industry participation outside of work, awards received, designations earned) • State your position and describe your present job responsibilities • Briefly state any major contributions that you have made in your present position • Explain why you are uniquely qualified to receive the scholarship • What are your professional goals in the insurance industry? How will this scholarship help you achieve them?
Narrative *
Resume *

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