Agency Scholarship Application – Insurance Agents & Brokers

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Application

Agency Scholarship

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

My agency is applying for the following scholarship(Required)

CIC - One In-Person Course or Live Webinar

CISR - One In-Person Course or Live Webinar

CE Webinar - One Webinar

Contact Information

First Name(Required)

Middle Name

Last Name(Required)

Phone(Required)

Phone Type(Required)

Work (Land Line)

Work (Cell)

Personal (Cell)

Work Email(Required)

Agency Name(Required)

Agency Years in Business(Required)

Agency Street Address(Required)

Agency Street Address 2

Agency City(Required)

Agency State(Required)

Agency Zip / Postal Code(Required)

Agency Phone(Required)

Number of Agency Employees (full & part time)(Required)

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

YES! My agency is an IA&B Member.

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

Provide 3 examples of volunteering or community involvement

Organization

Activity

Date(s)

Organization

Activity

Date(s)

Organization

Activity

Date(s)

Additional Information:

How did you hear about the IA&B scholarships?(Required)

How will this scholarship benefit your agency? (50 words or less)(Required)

Do you have questions?

Contact Sarah Haas for answers

Accordion #1

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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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