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How to Submit A Nomination

To be eligible for consideration, nominees must have an Iowa connection, serve as a role model for young people as well as others in the insurance business, exhibit the highest standards of ethical conduct, and have significantly impacted the insurance industry.

You may fill up the form below to submit your nomination to be considered in the current selection cycle. The deadline to submit nomination is July 1, 2021. New nominations not selected in the current cycle will be remain eligible for five years.

Step 1 of 3

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  • Nominee Contact Information

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  • Nominator Contact Information

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Send updates and comments to Robert D. Conroy, CPCU, CIC