THE LA SONYA CONLEY ORGANIZATION

Scholarship Application

We believe financial freedom should be accessible to everyone. Complete the application below and a member of our team will review your submission and reach out personally.

Age Requirement

Applicants must be 18 years of age or older. Per state law, individuals must be at least 18 years of age to apply for a state insurance license.

Background Disclosure

A felony conviction does not automatically disqualify you. Each application is reviewed individually. Full disclosure is required.

PERSONAL INFORMATION

Full Name*

Age*

Email Address*

Phone Number*

State of Residence*

Marital Status*

HOUSEHOLD & LIVING SITUATION

Current Living Situation*

Annual Household Income*

Do you have children?*

CAREER & EDUCATION

Current Career Path / Occupation*

Are you currently a student?*

Do you have any financial industry background?

Have you ever held a state insurance or financial license?*

READINESS & RESOURCES

Do you have access to a computer?*

Do you have reliable Wi-Fi / internet access?*

Do you have reliable transportation?*

Do you have time to study for the licensing exam?*

BACKGROUND DISCLOSURE

State insurance licensing boards conduct background checks. A prior conviction does not automatically disqualify you — many states evaluate the nature of the offense, how long ago it occurred, and evidence of rehabilitation. Full and honest disclosure is required. Incomplete or inaccurate information may affect your application.

Have you ever been convicted of a felony?*

ADDITIONAL INFORMATION

Why are you applying for this scholarship?*

How did you hear about this scholarship?

All information is kept strictly confidential. A member of the La Sonya Conley team will contact you within 3–5 business days.