2026 CPCU Designation Scholarship: College Student Application

2026 CPCU Designation Scholarship: College Student Application
Name

First NameLast Name
Personal Email
example@example.com
Work / School Email
example@example.com
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Birth Date

MonthDayYear
Date
College / University Information
College / University Name
Major
Year of Study
(Freshman, Sophomore, Junior, or Senior)
Expected Graduation Date
(MM/YYYY)
Nominator's Name
Nominator's Email
example@example.com
Transcript (Unofficial transcript accepted)

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Letter of Recommendation (Must be from the department chair or college dean nominator listed above)

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Personal Statement

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Essay: What unique perspective, experience, or challenge has shaped your professional journey, and how will earning the CPCU designation empower you to contribute to the industry in a meaningful way?

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DISCLAIMER:

I certify that I am currently a full-time student and that all the information I have provided on this application is true, correct and complete.

I further authorize The Institutes to obtain additional information to verify the content of this application.
Signature
Should be Empty:

College / University Information