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Application

Designation Scholarship

Apply by: Fri, Jan. 16, 2026, recipients announced on Fri, Feb. 13, 2026.

I am applying for the following scholarship(Required)

Personal Information

Address Type
Phone Type(Required)
Email Type(Required)

Provide 3 examples of volunteering or community involvement

Education

Received(Required)


Trade, College, or Professional School: Starting with most recent

Graduate?
Degree Type
Graduate?
Degree Type
Graduate?
Degree Type

Contact Information for your Independent Insurance Agency

Please check the box to confirm that your agency is a member of IA&B. Only employees of IA&B Member Agencies are eligible for scholarships.(Required)

If you would like to check your membership status, contact Sarah at SarahJ@IABforME.com or 800-998-9644, ext. 104.

Information About Yourself

Are you involved with any Insurance Related Organizations?(Required)

Provide two professional references (do not include relatives)

If you are applying for a CIC Designation Scholarship, please complete this section:

If you are applying for a CISR Designation Scholarship, please complete this section:

Letter of Recommendation

Accepted file types: pdf, txt, doc, docx, rtf, Max. file size: 10 MB.

Note: To be considered, a letter of recommendation must be either uploaded or emailed to SarahJ@IABforME.com.

Do you have questions?

Contact Sarah Haas for answers

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Sarah Haas
SarahJ@IABforME.com
800-998-9644, ext. 104

650 Wilson Lane, Suite 200
Mechanicsburg, PA 17055
191 Main Street
Annapolis, MD 21401
Toll Free: 800-998-9644
Fax: 717-795-8347
Email: IAB@IABforME.com
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