WSIA Executive Leadership Summit Scholarship Application 2018 Application Instructions About the ScholarshipWSIA offers a scholarship opportunity for the Executive Leadership Summit to qualified applicants employed by a WSIA member firm who is also a member of a designated state surplus lines association. For this program, these are the Louisiana Surplus Line Association (LSLA) and the New Jersey Surplus Lines Association (NJSLA).The scholarship covers tuition, room and board and includes a travel stipend to offset travel expenses.About the Executive Leadership SummitThis capstone program focuses on developing and implementing strategic planning, leadership and change management at the personal, team and organizational level. Senior-level professionals learn through intensive, real-life case studies taught by faculty from the University of Virginia’s Darden School of Business. Participants return to their organizations with the tools and mindsets to act more strategically. Attendees will develop the enterprise perspective required to make winning choices while running their businesses in today’s complex environment. Learn more in the Executive Leadership downloadable brochure, available here. Who Should AttendWSIA members with considerable E&S industry experience who are at the top of their organizations' leadership teams, and senior-level members with direct responsibility for obtaining superior and sustainable results, should attend the summit. What Alumni Have to Say“These four days will challenge your way of thinking, leading and managing. The facilitators use real-life cases to invoke deep discussion amongst leaders in the industry. A few days that can provide a real impact for years to come.” Corey Alison“I have two degrees, professional designations and have run my own company for 12 years. The past four days have been some of the most insightful I have ever spent. I couldn't recommend the program more highly.” James Keating“Anyone given the opportunity to attend this program should not hesitate. You will come away with tools that will positively affect your career, your staff and your personal life.” Michele PlaisantFor more information about the program, please click here.EligibilityIn 2018, applicants must be employed by a Louisiana Surplus Line Association (LASA) Member or New Jersey Surplus Lines Association (NJSLA) member. In addition, the firm you are employed by must be a member of WSIA.How to ApplyComplete and submit this form to WSIA by March 25, 2018. Your application will be reviewed and applicants will be notified approximately April 3, 2018. Question Title * 1. I certify that I am employed by a member the following surplus lines association. Louisiana Surplus Line Association (LASA) New Jersey Surplus Lines Association (NJSLA) Question Title * 2. I am also employed by a WSIA member firm. Yes No Question Title * 3. WSIA Member Firm: Question Title * 4. First Name: Question Title * 5. Last Name: Question Title * 6. Email Address: Question Title * 7. Cell Phone: Question Title * 8. How many years have you worked in the wholesale and specialty (surplus lines) industry? Question Title * 9. Present Job Title: Question Title * 10. Highest Level of Education Completed: High School College Graduate School Question Title * 11. Insurance Employment History / Resume Please attach a copy of your insurance employment history here (PDF or DOC). PDF, DOCX, DOC file types only. Choose File Choose File No file chosen Remove File Please attach a copy of your insurance employment history here (PDF or DOC). Question Title * 12. Briefly describe your present job responsibilities: Question Title * 13. Briefly describe why you wish to attend this program. Questions?If you have any questions about completing the WSIA scholarship application, please contact Denise Marshall at denise@wsia.org or 816.741-3910. Done