CICPCU Scholarship Application

Eligibility Requirements

Must be a sophomore or higher academic year.

Be a full-time undergraduate or graduate student who is majoring, minoring or pursuing their master’s degree in business administration, insurance, risk management, actuarial science, finance, or data science and statistics related to insurance.
Completion of one of the following:

One part of the CPCU or in pursuit of the CPCU designation.
Participation with the CICPCU Society Chapter.
Existing participation in the mentor/mentee program within the chapter or an internship in the insurance industry
Participation in CICPCU workshops and/or chapter meetings and events

* First Name

Middle Name (Opt)

* Last Name

Preferred Pronouns (Opt)

* Preferred Address Please include Street, City, State, and Zip Code

* School Email Address

Personal Email Address (opt)

* Cell Phone Number

* Date of Birth (MM/DD/YYYY)

* College or University Name

* Major (or Master's if applicable)

Minor (Opt)

* Current GPA

* Expected Graduation Date (MM/YYYY)

* Student ID Number

* Year of Study

Sophomore
Junior
Senior
Graduate

* Are you a CPCU Society Student Member?

Yes
No
Unsure

* Are you a Gamma Iota Sigma (GIS) Member?

Yes
No

* Please attach your resume highlighting relevant experiences, leadership, and career goals. Max file upload size is 95 MB

* Please attach a 1-2 page summary highlighting why you should be selected and your involvement with the CICPCU Chapter. Maximum file upload size is 95 MB

DISCLAIMER

I understand that Central Illinois Chapter scholarship / sponsorship is a privilege and not a property right. By accepting this from the Central Illinois CPCU Chapter, I have no ownership or property right or interest in the Chapter’s funds, property, or other assets.

I understand that scholarship / sponsorship recipients may be featured in Central Illinois CPCU Society Chapter communications, including but not limited to publicity, advertising, web content, social media, promotional materials, and other CPCU-related uses. By submitting the application, I give consent to use my name, photos, or videos for business purposes. If I do not wish to be featured, it is my responsibility to notify Chapter representatives.

I certify that all the information I have provided on this application is true, correct, and complete

* Please type your full name to acknowledge the above statement. i.e. John Smith

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