Young Agents program form - Ind Ins Agents & Brokers of South Carolina

Young Agents program form

Enjoy fellowship and networking with other young insurance professionals across the state with the Big I South Carolina Young Agents program.

This initiative is designed for professionals who are 40 years of age or younger, or who have less than five years of experience in the industry. Please refrain from completing this form if you do not meet these eligibility criteria.

Agent members who do not qualify for the program can still receive communications regarding Young Agents programs and events and are encouraged to participate in activities that support the growth and future of our industry.

Fields marked with an * are required.

First Name *

Last Name *

Email *

Date of Birth *

How long have you been in the insurance industry (in years) *

Please enter the number of years that you have been active in the insurance industry. Use "0" if less than one full year.

Organization *

Title

Address Line 1

Please enter your preferred MAILING address information.

Address Line 2

City

State

Postal Code

Interest in Committee Service

Please let us know if you are interested in serving on the Young Agents Committee. Someone will reach out to explain further what commitments and time that would entail.

Comments

Please use this space for anything you would like to share with us about your interests or what you hope to get from the Young Agents program.

Please verify that you have checked the “I'm not a robot” checkbox.