Meet the Go-Getters Questionnaire

Meet the Go-Getters Questionnaire
Thank you for your interest in becoming a CPCU Society Go-Getter! We are excited to learn more about you as a valued member of this incredible community.

Please fill out this form to the best of your ability. A pro tip, be as detailed and specific as you can when writing your answers. Help us really get to know you!

Whether or not you will be featured as a go-getter is at the discretion of the CPCU Society. Not every submission may end up being featured. Furthermore, if you are chosen, a member of our staff may reach out to you to follow up on some of your answers or to get additional information.

If you have any questions or concerns, please reach out to Zachary Zalis, Digital Membership Coordinator, at zalis@theinstitutes.org. Thank you for your time and dedication to the CPCU Society!
Name*

First NameLast Name
Email*
example@example.com
Company*
Job Title*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year you became a CPCU
Year you joined the CPCU Society (if you don't remember, don't worry, we can look it up!)
Attach a photo of yourself for the article.*

Browse Files

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If you use social media, please list your handles:
Are you a member of a CPCU Society Committee?

YesNo
If you are, what committee do you serve on?
What is your position on the committee?

ChairVice ChairMember
Tell us about yourself as a professional. Do you have a special interest or area of expertise, unusual background or experience, or a topic or skill you’re working to get better at?*
Why are you passionate about working in insurance and/or risk management? *
Tell us about something you enjoy outside of work, a cause you support, a hobby, family activity, or anything else that is important to you. (If it makes sense, share a photo.) *
Attach a photo you'd like to share.

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In your opinion, what’s the best thing about being a CPCU Society member? (OK, you may list more than one thing!) *
Should be Empty: