You will receive the on-demand webinar link at the completion of this survey.

If you have any questions contact us at diversity@iiaba.net for further assistance. 

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* 1. First and Last Name

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* 2. Email

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* 3. Name of Agency or Company

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* 4. City

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* 5. State

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* 6. What best describes your affiliation with Independent Insurance Agents and Brokers of America (the Big I)?

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* 7. Can we add you to the Big I Diversity Council's monthly distribution?

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* 8. Are you interested in learning more about mentorship programs for women and/or agency owners?

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* 9. The Big "I" has special resources for diverse agents identifying as a racial/ethnic minority, under the age of 40, woman and/or LGBTQ. Please check all that apply and note your response is OPTIONAL.

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