The Certified Insurance Service Representative (CISR)* High School Program Interest Form
Students, Parents and Guardians,

Premier High School Austin Wells Branch has an opportunity to offer a new Career and Technology Program.

This survey will allow us to determine if there is student interest so that we can launch this new Program at Premier! Our goal is to become a Career and Technology Center in addition to continuing to thrive as a High School but in order to do this, we need students interested in taking charge of their futures.

How is this valuable to your student?

Career and Technology Programs provide students the opportunity to learn new skills and make them marketable for high demand and high wage jobs straight out of high school.

The CISR for High School Program equips students with industry training so they can analyze insurance risks, policies, forms, and claims data, giving them a significant advantage before entering the workforce. Whether your student is moving on to college or they want to start the workforce after graduation, this certification will allow them to have a great paying job!

Student Benefits:

-Internships and real-world opportunities.

-Internationally recognized designation/stackable credentials.

-Potential college credit at 29 University Associate Programs.

-Participation in post-secondary and industry-sponsored events and activities.

-Scholarship and entry-level employment opportunities available through internships and industry based CTSO sponsored competitive events.

-Paid internship spring of Senior Year.

Where is the Program offered?
The program is offered at Premier High School. All courses are online and a Premier High School teacher is available to answer questions and provide guidance.

What is the Cost?
The program is free to students.

Do students receive credit?
Yes, the courses are available for high school elective credit under Career and Technology Education (CTE).

How long is the Program?
The program is 3 Semesters which include Web Enhanced Learning, Reviews & Test Preparation, Industry
Certification Exams, Receipt of Designation, Industry Internship and Career Placement. The 4th semester is focused on the internship.

*2020-2021 TEA Approved List of Industry-Based Certifications
Email address *
Name of Student (Last Name, First Name) *
Parent Name (Last Name, First Name) *
Student Phone # *
Parent Phone # *
Is this a program that your student would pursue while in High School? *
Is your student interested in courses that would provide them opportunities to earn a certification before graduating high school? *
This course is focused on insurance education, what type of workforce programs would your student be interested in?
CISR High School Program Video
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of ResponsiveEd.