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    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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    Events Calendar:
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    Avrohm Wisenberg Scholarships

    2017 CIC/CISR Memorial Scholarships
    Nomination/Application Form

    TSLA

    The National Alliance for Insurance Education & Research

    If you would like to apply for or nominate someone for the Avrohm Wisenberg 2017 CIC/CISR Memorial Scholarships, please fill out the form below, completing all information as requested. Once done, click on the Submit button to send the application to TSLA. All applications must be submitted by 12:00 noon on September 08, 2017.

    Thank You!

    Scholarship Type
    1. I am applying for the:  CIC Scholarship
    CISR Scholarship

    Applicant's Information
    2. Applicant's Name: 
    Nominated By (if applicable): 
    Agency: 
    Street Address: 
    City:    State:   Zip:
    Phone Number:    Fax Number:
    Email Address: 

    Applicant Experience / Consideration
    3. Please write a brief description of work experience, commitment to professional advancement,
        and reasons why the applicant should be considered for the scholarship:

    Applicant Status
    4. Has the applicant started the program to which he/she is applying for a scholarship?  Yes No

    Comments / Questions
    5. Additional Questions or Comments:

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

       

     

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