January 22–23, 2019, Tampa Marriott Waterside

YAC Sales & Leadership Conference Scholarship Application

The YAC Sales & Leadership Conference is a great opportunity for the state’s most aggressive and engaged producers, CSRs, and support staff to come together for some incredible training and carrier networking.

Criteria for Scholarship

  • A current FAIA YAC member in good standing.
  • Candidates must be sponsored and supported by their agency.
  • Candidates must attend the entire conference to receive the scholarship.
  • Candidates are required to submit qualifying receipts to receive the scholarship (FAIA will not reimburse for alcohol beverages)
  • Candidates are strongly encouraged to volunteer during the three day event.
Please fill in the information requested below. Fields with an * are required.
*Candidate's Name:  
*Agency Name:  
*FAIA Member ID  
*Agency City/Branch  
*Candidate Phone  
*Candidate Email    
Insurance License Number:
*No. of Years in Insurance Business:  
*What makes you a good candidate for the scholarship? :  
*Why do you want to attend the conference? :  
Other leadership training courses taken, course name(s), and dates taken:
*Are you active in the Young Agents Council and what events have you attended?:  
*Will you attend if you are not awarded the scholarship? :
I understand that I am required to attend the entire event and volunteer where needed. *Candidate Signature: