Conestoga Convocation 2021 Registration Form

You are invited to join the Conestoga Chapter virtually on March 3, 2022 at 1:00 p.m. (EST) as we honour insurance professionals who have reached the highest academic achievements in our industry.

Graduates, along with their friends, family and colleagues are invited to attend and celebrate. There is no fee to attend as a graduate or guest.

To join the virtual convocation ceremony, please fill in the below registration form no later than February 7, 2022.

Everyone who registers will receive a unique participation link. Space is provided on the next page to register your colleagues, friends and family, who will receive their own unique participation link.

Question Title

* Please provide your information:

Full Name

Email Address

Institute Member ID (if you have one)

Company name (if you have one)

Question Title

* You are registering as a:

Graduate receiving a certificate or designation

Industry guest

Personal guest (friend or family not in industry)

Question Title

* Which certificate(s)/designation(s) will you be receiving as part of this year's convocation? Please select all that apply. If you are registering as a non-grad, please leave blank.

Chartered Insurance Professional (CIP)

Advanced CIP (ACIP)

Fellow Chartered Insurance Professional (FCIP)

General Insurance Essentials (GIE)

Risk Management Certificate (RMC)

Commercial Insurance Certificate (CIC)