OFFICE USE ONLY

_____________ DATE RECEIVED

_____________ DATE PROCESSED

_____________ FDIC CERT

_____________ DATE APPROVED

_____________ STUDENT ID

 

 

 

Application for Admission July 15-27, 2007 School Session
Resident Session Boulder, Colorado

 

Application is for First Year or Second Year Direct students only.
Continuing Second & Third Year Students need not complete an
application.  You will be billed directly by GSBC.

Mail to:  GSBC

1540 30th Street, Suite 147

Campus Box 411

Boulder, CO 80309-0411

 

Fax to:  303-492-0930

 

Apply online: www.GSBColorado.org

 

E-mail:  GSBC@GSBColorado.org

Applying For:   r  First Year     r  Second Year Direct*     Option Of:   r One-Week Resident (Online Computer-Based Education) r Two-Week Resident

America’s Premier Community Banking School

Personal Information
Text Box: Admission is granted in order of receipt of application accompanied by the non-refundable $200 processing fee. A student who withdraws from the session on or before May 21, 2007 will be charged an additional $250 cancellation fee. If the withdrawal occurs after June 11, 2007, one-half of the tuition will be retained. For withdrawals after July 9, 2007, tuition and all applicable fees will be retained. The Graduate School of Banking at Colorado does not discriminate among applicants on the basis of race, religion, sexual orientation, national or ethnic origin, disability, or age in the administration of its policies and admissions.

 

r Mr. r Ms.  Applicant Name (First, M.I., Last)                                                                                                                           Suffix (Jr./Sr.)

 

Bank/Organization Name                                                                                                                                Title

 

Office Mailing Address

 

Office City, State, Zip

 

Office Phone                                                                                Office Fax                                                   Mobile (if avail.)

 

E-mail Address                                                                                                                                                 Bank/Org. Website

 

Home Mailing Add                                                                                                                           Home Phone

 

Home City, State, Zip                                                                                                                     Personal E-mail

 

Age Range  r 20-29   r 30-30   r 40-40   r 50+                               Nickname (if any, for name tag)

Educational Background and bank / organization information

Education (Highest level achieved: high school, some college, AS/ BS/ BA/ MBA/ etc.)

 

 

 

University/ College                                                            City & State                                                     Dates Attended                              Degree/ Certificate Awarded

 

State / Specialized Banking School                                                       City & State                                                     Dates Attended                              Certificate Awarded

 

Experience                                   Commercial Banking (Years)                             Regulatory (Years)                                           Other Financial Experience (Years)

Asset Size of Current Bank

r to $50 million

r $51 to $100 million

r $101 to $250 million

r $251 to $500 million

r $501 to $750 million

r $751 to $ billion

r Over $1 billion

r Not Applicable

Current Job Function (Check one.)

r Branch Management

r Commercial Lending / Ag Lending

r Retail Loans / Consumer Banking

r Finance / Accounting

r Investments / Treasury

r Operations / Systems

r Regulatory Agency

r Other _______________________

                 Specify

Other Bank Experience (Check all that apply.)

r Branch Management

r Commercial Lending / Ag Lending

r Retail Loans / Consumer Banking

r Finance / Accounting

r Investments / Treasury

r Operations / Systems

r Regulatory Agency

r Other _______________________

                 Specify

GSBC sends all correspondence to your work address and business E-mail address unless indicated otherwise.  Please check here if you would prefer correspondence sent elsewhere.

 

Preferred Mailing Address

  r Office          r Home

 

Preferred E-mail Address

  r Business    r Personal