PIAW Past President Scholarship

Name: CISR – Commercial Casualty 2 – Canceled
Start: 2020-06-10T08:00:00-05:00
End: 2020-06-10T15:45:00-05:00
Location: Holiday Inn Pewaukee – Milwaukee West

young man at college

The PIAW Past President Scholarship is a $1,000 scholarship given to any college or university Junior or Senior majoring in insurance or a related field of study.

To be considered for the scholarship, please complete the online form below on behalf of the student you are nominating, or download the PDF form and submit it by October 1st, 2019.

Applicant Information
Applicant's Name
First Last
Applicant's Address
Street Address Address Line 2 City State ZIP Code
College or University
Field of Study
GPA
Current Year of School
Is Student Related to a PIAW Member?
- Yes
- No
If Related, Name of Member
Submitted by
First Last
Agency or Company Name
Address
Street Address Address Line 2 City State ZIP Code
Phone
Fax
Relationship to Student

PIAW Past President Scholarship

Applicant Information