YPC College Scholarship

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YPC Scholarship Form

Attending college for insurance or a related field of study? If so, could you use up to $2,500?

YPC College Scholarship Application Process:
- - Must be sponsored by an active PIA Member *There is NO obligation to purchase insurance from your sponsor. In advance of submitting this application visit the PIAW website to find a PIAW member in your area who would be willing to sponsor you: www.piaw.org/membership/Find a Professional Agent. Make contact and request a sponsorship.
- - Ask your sponsor to prepare a referral paragraph (750 characters, with spaces, or less) in plain text. You will copy and paste this onto the website scholarship form.
- - Have your sponsor information available – name, address, phone, email.
- - Prepare your document on “Tell us your post graduation career plans.” (1500 characters, with spaces, or less) to copy and paste onto the website application.
- - You are now ready to begin the online application.
Recipients will be notified by email.

The PIA of Wisconsin’s Young Professionals Club wishes to award:
Up to $25,000 in scholarships! Scholarships are solely based on sponsorship participation.

To be considered for the scholarship, please submit this form by March 15, 2019.
Please select your application type(*)

High School Application
College ApplicationInvalid Input

Please give us some information about the Student.
Student Name

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Student Address

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Student City

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Student State

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Student Zip

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Student Phone

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College or University registered at

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Education Level(*)

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(i.e. college freshman, college senior, high school senior, etc.)
Field of Study

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GPA (transcrips required if scholarship is granted.)(*)

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Student Email(*)

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Second Email

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School Counselor Email(*)

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Student: In 1500 characters or less tell us your post graduation career plans:
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If you cut and paste your text and it is longer than 1500 characters, it will automatically be truncated
(*)

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Please Copy and Paste your sponsors paragraph(s)
Limit 750 characters or less:
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If you cut and paste your text and it is longer than 750 characters, it will automatically be truncated.
(*)

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Please give us some information about the Sponsor.
Name of Sponsoring PIA Member

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Submitted by

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Agency/Company

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Sponsor Address

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Sponsor City

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Sponsor State

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Sponsor Zip

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Sponsor Phone

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Relationship to student

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Sponsor Email(*)

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A check will be presented to the scholarship winners at the Opening Party at the PIA Convention in August; you must be present to receive your scholarship. Scholarships awarded at the discretion of PIA of Wisconsin.

Attending college for insurance or a related field of study? If so, could you use up to $2,500?