Supplemental Information: Note, if applying for the combined session, the applicant should provide information for the examiner that will also be attending or should consider submission of a second application form: Name: Job title: Business address: City: State: Zip: Business phone: Email address: Division/Department: Length of service in years: In the space below, briefly describe your responsibilities in your present position: Please list previous positions held within the Insurance Department, or other relevant work experience and approximate number of years in each position: Submit completed application for requested session to: Bree Wilson NAIC Financial Regulatory Services 1100 Walnut Street, Suite 1500 Kansas City, MO 64106-2197 Phone: 816-783-8412 E-mail:
Supplemental Information: Note, if applying for the combined session, the applicant should provide information for the examiner that will also be attending or should consider submission of a second application form: Name: Job title: Business address: City: State: Zip: Business phone: Email address: Division/Department: Length of service in years: In the space below, briefly describe your responsibilities in your present position: Please list previous positions held within the Insurance Department, or other relevant work experience and approximate number of years in each position: Submit completed application for requested session to: Bree Wilson NAIC Financial Regulatory Services 1100 Walnut Street, Suite 1500 Kansas City, MO 64106-2197 Phone: 816-783-8412 E-mail:
financial_exam_prp_analysis_peer_review_application.docx