Undergraduate Application

Iowa Chapter Undergraduate Scholarship Application

Please Type or Print All Information

Scholarship Amount: $1,000 toward tuition during recipient’s sophomore, junior, or senior year. Amount may be applied to spring, summer, or fall tuition. Applicants must meet all of the criteria below to be eligible for this scholarship:

Be an Iowa Chapter of CPCU member or one of their dependents
Be a sophomore, junior, or senior attending a four-year accredited college or university
Maintain an overall G.P.A. of at least 2.75 on a 4.0 scale

Preference will be given to students majoring in business and/or insurance related area of study.

Applicant Information

Name: *

Mailing Address: *

Permanent Mailing Address:

Phone Number: *

Email: *

CPCU Member Name: *

Year in school: *

Sophomore

Junior

Senior

Major: *

Minor:

Grade Point Average: *

Anticipated Graduation Date: *

Submission Information

Please complete and submit this form with the following information by the second Friday of March:

A resume that includes information regarding the applicant’s scholastic honors, extracurricular activities, employment history, and other information you believe is important for consideration.
A statement explaining your career goals and your thoughts about why you are deserving of consideration for this scholarship award. Also, if you are majoring in or have an emphasis in insurance, please explain your interest in that career path.

Upload your resume and statement files in Word or PDF format below before clicking on the submit button.

Upload Resume: *

Upload Statement: *