2019 ILTCI Producer Scholarship Application
The 19th Annual lntercompany LTCI Conference will be held at the Sheraton Grand Chicago, Chicago, IL, March 24-27, 2019. The ILTCI Conference Association Board has decided to offer a subsidized scholarship program this year for licensed insurance agents who are not home office employees! Scholarship recipients must be a Producer/Advisor/Agent who is currently engaged in either selling, distributing, or advising clients or potential clients about various LTC needs and solutions. The rate for all approved scholarship attendees is only $195! Please fill out and submit the form below to apply for this scholarship.

Available to all conference attendees will be a pre-conference CLTC Master Class for only $195 (A $1,200 value) which will provide 12-15 hours of CE and prepare the attendee to take the CLTC exam. You can sign up for the class when you register for the conference.

Email address *
Will this be your first year attending the conference? *
Did someone refer you to ILTCI? If so, please write their name below.
Your answer
Name of Applicant *
Your answer
Company Name *
Your answer
Business Address *
Your answer
Cell Phone *
Your answer
Work Phone *
Your answer
2017 Sales (Premium) *
Your answer
Are you a member of any professional organization?
The Applicant Nominee is a licensed agent and confirms that the information above is true and correct to the best of his or her knowledge. *
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