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Pool Overview
File a Claim
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Fund Overview
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Contacts
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Services Overview
Comprehensive Consulting
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Consolidated Billing & Online Enrollment
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Delta Dental Individual Coverage
HSA Store
FSA Store
Request a Quote
Member Resources
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SET SEG Foundation
Bid to Give Online Auction
Donate
Donor Recognition
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SET SEG Insurance and Risk Management Scholarship Application
SET SEG Insurance and Risk Management Scholarship Application
Student First Name
*
Student Last Name
*
Student Address
*
Street Address
City
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Alaska
American Samoa
Arizona
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Colorado
Connecticut
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District of Columbia
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Indiana
Iowa
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Louisiana
Maine
Maryland
Massachusetts
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New Hampshire
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New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Student Phone
*
Student Email
*
Grade/Year of School
*
High School Senior
College Freshman
College Sophomore
College Junior
College Senior
Graduation Date
*
Parent/Guardian Name
Parent/Guardian Phone
Name of college/university you will attend in the fall
*
Field of Study
*
Cumulative GPA on a 4.0 Scale
*
Have you received any other student scholarships or educational support grants?
*
Yes
No
If yes, please list other student scholarships or educational support grants you have received:
In 150 words or less, describe any accomplishments or experiences that make you uniquely worthy of this scholarship.
*
In 150 words or less, explain how receiving this scholarship will impact you.
*
In 150 words or less, explain why you're interested in insurance and risk management and any future career goals you have.
*
Please check the box below to confirm the information you are submitting is true and accurate to the best of your knowledge.
*
Click to confirm
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