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    TSLA
    TSLA
    TSLA
    Contact Information:
    TSLA
    Phone: 512.343.9058
    TSLA
    Thank you for visiting TSLA, a non-profit, trade association of excess and surplus lines brokerage and underwriting professionals. If you would like more information about our association and membership benefits, please contact us at your convenience:
    TSLA
    phone:
    512.343.9058
    TSLA
    TSLA
    TSLA
    fax:
    512.343.2896
    TSLA
    TSLA
    TSLA
    address:
    Great Hills Corporate Center
    9020-I Capital of TX Hwy N., Suite 370
    Austin, TX 78759
    TSLA
    TSLA
    TSLA
    email:
    jptsla@tsla.org
    TSLA
    information:
    Info Request Form
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    TSLA
    Events Calendar:
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    WSIA Scholorship

    WSIA Marcus Payne Advanced E&S School
    Scholarship Application

    *All applications are to be submitted by September 18, 2017 to TSLA
    Attention: Jean Patterson

    TSLA

    Applicant Information
    Applicant Name: 
    Firm Name: 
    Phone: 
    Email: 
    WSIA Member:  Yes   No
    How many years have you worked
    in Excess/Surplus related areas? 
    Present job title: 
    Education: Select the highest
    level completed and list degree: 
    High School
    College  
    Graduate School  

    Employment History, Current Job, and Summary Information
    Please provide a summary addressing the following items:
    Insurance Employment History  Give a brief description of your work in the insurance field:
    Job Description  Briefly describe your present job responsibilities:
    Why You Want to Attend  Give a brief summary of why you want to attend the
    Advanced E&S School and why you think you should be the recipient of this scholarship:

    Signature
    Signature:  (type name)
    Date: 

    Please click on the "Submit Application" button to send your application.
    One of our representatives will respond to your submission as soon as possible.

       

    All questions should be directed to Jean Patterson at (512) 343-9058
    or by email at jptsla@tsla.org

    TSLA

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    TSLA
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