Ascending Leaders Council Survey

Thank you for your interest in joining the Ascending Leaders Council, an initiative supported by the National Association of Professional Insurance Agents (PIA) to empower and connect young insurance professionals. Please complete this survey to help us understand your goals, interests, and suitability for the council.

Fields marked with an * are required.

Contact Information

First Name *

Last Name *

Phone *

Organization *

Professional Information

Title *

Years in the Insurance Industry: *

Primary Area of Expertise: *

(e.g. personal lines, commercial lines, underwriting, claims, etc.)

Leadership & Involvement

Why are you interested in joining the Ascending Leaders Council? *

What skills, experience, or unique perspectives would you bring to the council? *

Are you currently involved in any industry groups or associations, including PIA? *

If yes, please list industry groups or associations:

Goals & Interests

What topics are you most passionate about in the insurance industry? *

Innovation and Technology

Professional Development

Community Engagement

Advocacy and Policy

Education and Training

Other

If other, please specifty:

What would you like to accomplish as part of the council? *

Availability & Commitment

Are you able to commit to attending quarterly meetings (virtual or in Washington D.C. area)? *

Are you open to additional volunteer opportunities or projects with PIA? *

Additional Comments

Do you have any suggestions or ideas for the Ascending Leaders Council?

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Ascending Leaders Council

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