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2025 National PRIMA Conference Scholarship Application
DATE SENSITIVE
Applications must be received by February 7, 2025.
First and Last Name:
*
Job Title:
*
Email:
*
Member/Agency Name:
*
Street/PO Box Address:
*
City/Town:
*
Zip Code:
*
Phone Number:
*
How many years of risk management experience do you have?
*
0 - 2 Years
3 - 5 Years
6 - 8 Years
9 - 12 Years
More than 12 Years
What percentage of your daily time is spent working on risk management?
*
0 - 20%
21 - 40%
41 - 60%
61 - 80%
81 - 100%
How many staff members does your organization have in the risk management department?
*
0 - 1
2 - 3
4 - 5
6 - 7
8 or more
How many lines of coverage do you have with Public Entity Partners?
*
Workers' Comp
Liability
Property
All Lines
Are you a TnPRIMA member?
*
Yes
No
When was the last time you attended TnPRIMA?
*
Never attended
1 - 2 Years
More than 3 Years
Are you a member of National PRIMA?
*
Yes
No
Have you ever attended Public Entity Partners' Annual Risk & Insurance Symposium?
*
Yes
No
I am ready to submit my application. PLEASE ONLY CLICK THE SUBMIT BUITTON ONCE. You will receive an email confirmation within 15 minutes.