Committee Volunteer Sign-Up Question Title * 1. Please mark the committee(s) that you would be interested in serving in September 2018 - August 2019 First Choice Second Choice Third Choice Personal Lines Committee Personal Lines Committee First Choice Personal Lines Committee Second Choice Personal Lines Committee Third Choice Commercial Lines Committee Commercial Lines Committee First Choice Commercial Lines Committee Second Choice Commercial Lines Committee Third Choice Governmental Affairs Committee Governmental Affairs Committee First Choice Governmental Affairs Committee Second Choice Governmental Affairs Committee Third Choice Agency Management and Technology Committee Agency Management and Technology Committee First Choice Agency Management and Technology Committee Second Choice Agency Management and Technology Committee Third Choice Membership Committee Membership Committee First Choice Membership Committee Second Choice Membership Committee Third Choice Professional Development Committee Professional Development Committee First Choice Professional Development Committee Second Choice Professional Development Committee Third Choice Employee Benefits Committee Employee Benefits Committee First Choice Employee Benefits Committee Second Choice Employee Benefits Committee Third Choice OK Question Title * 2. Learn more about IIAG Committees:Click here to learn more about each of IIAG's Committees OK Question Title * 3. Name OK Question Title * 4. Agency/Company: OK Question Title * 5. City: OK Question Title * 6. Phone Number: OK Question Title * 7. Email Address: OK Question Title * 8. Date of Birth (MM/DD/YY): OK Question Title * 9. Years Experience in Insurance Industry: 1-2 years 3-5 years 6-10 years 11-15 years more than 15 years OK Question Title * 10. What is your role in the agency/company? Agency - Owner/Principal Agency - Producer Agency - CSR Company - Marketing Rep Company - Territory Manager Company - Underwriter OK Question Title * 11. Please share any other comments or information that should be considered when making committee appointments for 2018-19. OK Question Title * 12. Learn more about IIAG Committees:Click here to learn more about each of IIAG's Committees OK DONE