Pre-licensing Student,
We are requesting the following information to provide the Georgia Insurance Licensing Issuance Department (Sircon) proof once you've completed the required prerequisites to apply for your license. Also, we will use the collected information to register you for the online course that is part of this class.
Please print your legal name; this is how it will appear on your pre-licensing completion certificate. This should be the same spelling as your government issued id and/or drivers license.