Louisiana Policyholders: Notice to policyholders in Louisiana recently affected by severe weather. 

Oregon Policyholders: Notice to policyholders in Oregon recently affected by wildfires. 

Student Ambassador Application

All fields marked with * are required.

Starting Into Practice Student Ambassador Application

Social Media

Are you on social media? *


Professional References

Essay Section

Signature

Please read carefully before signing. If you have any questions or concerns regarding the following agreement, please contact StartingIntoPractice@ncmic.com or 515-313-4538.

I hereby certify that I am eligible to work in the United States with a valid social security number. I acknowledge that, if selected, I am responsible for all taxes as an independent contractor.

The information given in this application is correct to the best of my knowledge. I understand that the information will be used for consideration for a position in the NCMIC Starting Into Practice Ambassador Program. I understand and agree that the decision made regarding my application by the selection committee will be final.

This website uses first party and third party cookies to improve your experience and anonymously track site visits. By visiting this website, you opt-in to the use of cookies. OK