Principals Academy Application

Apply for the Principals Academy through July 31, 2017

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* Address

Name *

Agency *

Address *

Address 2

City *

State *

ZIP *

Email Address *

Phone Number *

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* Please describe your current role in the agency.

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* How many years have you been employed with your current agency?

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* How many total people are employed in your agency?

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* Why do you want to participate in the Principals Academy and what do you hope to achieve?

FINAL QUESTION INSTRUCTIONS. Please email an essay with your response to the above question to Christy Minardi at the Independent Insurance Agents of Georgia by July 31, 2017.. Email: cminardi@iiag.org or send it by postal mail to Independent Insurance Agents of Georgia, 4555 Mansell Road, Suite 300, Alpharetta, GA 30022.