Blended Pre-licensing Course Sign-up

This page is for our in-person students who need to take the blended supplemental course to complete their pre-licensing education. Please do not continue unless you have received instructions and a bundle code from your instructor.

Account Information

Desired Username
Please DO NOT use the same password you use on other web sites. Create a unique one exclusively for use with Florida School of Insurance.
Password
Re-type Password
Email Address
Re-type Email Address

Personal Information

Please fill this out carefully. It will be used to submit your information to the state and will appear on your course completion certificate.

Prefix
First Name
Last Name
Daytime Phone
Evening Phone
Birth Day
Social Security #	(NO DASHES!)

Company
Address
City
State
Zip Code

Bundle Access Code

Your instructor will assign you a bundle access code. Please enter it carefully.