Ambassador Visit Request

Insurance is already part of everything you do.

Find your career in it.

Ambassador Visit Request Form

Please take a few minutes to complete the request form below. By completing this form, the information will help us to determine the best Ambassador to connect with you and your class. When finished, press the submit button at the bottom of this form. One of our representatives will contact you to discuss and confirm the presentation.

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Title

First Name

Last Name

School Province

School City

School Name

School Address

Postal Code

School Phone

Ext.

Grades Taught

K-6
7-8
9-10
11-12

Grades Taught Other

Courses Taught

Business
Social Studies
Career Studies
School Counsellor
Math
Science

Courses Taught Other

Presentation Type

Number of Presentations Required

Setting

Purpose of Presentation

Number of teachers present

Diversity of Group: (language, cultural, socio economic, ESL)

Please tell us where you learned of our resources

If you selected other, please tell us where

Insurance is already part of everything you do.

Why Insurance

Job Site

High School Students

Post Secondary School Students and Grads

Career Changers

Explore Careers

Request a Classroom Presentation

Request a Classroom Presentation

Ambassador Visit Request Form

(Please note: We will try our best to fulfill all Ambassador Requests, but may not have an ambassador in your region.)