EmailMe Form - Applications for the 2022 IASA Awards Committee

Help IASA recognize worthy companies and individuals who have had a positive impact on their colleagues, the IASA community, and the insurance industry.

The Awards Committee will determine qualifications for various awards, solicit, and select a qualified slate of award recipients annually and present them to the Board for ratification.

The estimated time commitment for members of the Awards Committee is up to four (4) hours per month for 3 months.. This includes time for the review of award nominations and a one-hour Zoom meeting to select the 2022 slate of award recipients.

Don’t miss this opportunity to help IASA recognize those who have done so much to support our industry.

APPLICANT INFORMATION

Name *

First Last

Email *

Confirm Email *

Professional Title *

Company *

Date of Birth *

MM / DD / YYYY

Gender *

Female

Male

Non-binary

Race *

Ethnicity *

Hispanic, Latinx, or Spanish Origin

Not of Hispanic, Latinx, or Spanish Origin

PROFESSIONAL EXPERIENCE & AREAS OF EXPERTISE

Years of Industry Experience *

Career Start Year *

Professional Role *

Signature
An applicant signature is required and signifies that the information provided in the application is correct. *

Clear