Have you taken any English language proficiency exams or taken courses in English? If so which ones and what were your scores?* |
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List of Current Principal Duties & Responsibilities:* |
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5. Explain Goals/Objectives in pursuing an NAIC Fellowship
1:* |
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2:* |
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3: |
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4: |
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6. Please detail upon which areas you would like to focus and list specific goals and objectives for participating in this program.*
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8. Please provide the name, phone number and e-mail address of the individual(s) we should contact
for you in the event of an emergency situation.*
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9. Please provide the name of your medical insurance company and your policy number for
reference in the event of a medical situation. If you are unable to provide specified information at this time,
you will be required to do so via e-mail before entering the program.
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By submitting this application electronically, the applicant certifies:
-That their command of English is sufficiently advanced to read technical publications and to carry out and understand conversations on technical matters.
-That they are an employee in good standing of the Insurance Regulatory Organization noted below and plans to continue to work with this organization for at least three years.
-That they will follow the hours as defined by their host jurisdiction's Department of Insurance and comply with all rules and regulations in place.
-That they will actively participate in the program and that they understand failure to do so may lead to their removal from the program.
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