PIA Scholarship Opportunities for 2016

PIA of Georgia/Society of CIC Scholarship

In the interest of supporting professional education, these scholarship opportunities are sponsored jointly by PIA and the Society of Certified Insurance Counselors. Nine (9) scholarships are available this year. Recipients may select the Institute of their choice.

CISR Scholarship

Nine scholarships, each for a single CISR module. The nine recipients may choose the seminar of their choice. These are for classroom CISR only.

Guidelines for all Scholarship Applicants

  • Scholarships cover full tuition and books only and are only valid in the State of Georgia.
  • No make-up provision is allowed for non-attended Institute modules or for failure-to-pass grade.
  • Scholarship is not to be used in conjunction with any other scholarship.
  • Scholarship must be used within one (1) year of date of award.
  • CIC scholarship applicant must have at least two years of experience in the insurance industry and/or be licensed.
  • CISR scholarship applicant, in order to achieve the designation, must have two years of agency/industry experience.
  • Employer of scholarship applicant must attach a letter to the applicant’s application attesting their willingness to allow the employee to attend Institute(s)/Module(s) (e.g., time away from work, etc.). Applications received without such letter cannot be considered.

Scholarship Application Form Deadline for submission: 11/1/16

Winners will be announced via U.S. postal service. Questions? Call 770.921.7585 or toll-free 800.233.4902.
All items marked with an * are required to process the form.

Applicant Information

Today's Date*:
Applicant's Name*:
GA Insurance License Number*:
Designations (e.g., CPCU, ARM, etc.):
Home Phone:
Email*:

Applicant Employment Information

Employer*:
Employer Address (Street/City/State/Zip)*:
Office Phone*:
Current Job Title:
Length of Time at Current Employer:
Is anyone in your firm currently enrolled in the CIC program?  Yes No
Is anyone in your firm currently enrolled in the CISR program?  Yes No

General Questions

Have you ever attended a CIC institute?  Yes No
Ever attended a CISR class?  Yes No
Tell us why you would like to receive a scholarship*: