Workforce Initiative Volunteer Form

FAIA and the Good Works Fund are building “insurance communities” around the state to support state colleges that offer risk management/insurance specialization programs. Please indicate your volunteer interest and availability (check all that apply):








* First Name:  
* Last Name:  
* Agency/Company Name:  
* Address  
* City:  
* Zip:  
* County:  
* Best Number to Reach You:  
* Email:  
* Contact Method:
Submit


A COPY OF THE OFFICIAL FAIA GOOD WORKS FUND REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CUSTOMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. REGISTRATION #CH-10676.