REPORT CARD

Please report any school or community educational activity dealing with banking, personal finances, economics, or related subjects in which your bank is involved.

Please fill out report card completely and accurately. Fields marked with * are required.
Key Banker's Name:*
Date of Activity:* / /
Address:*
City, State, Zip:*
Phone:* please use this format: 999-999-9999
Bankers Participating:(min. 1 required)
FOR CARDS TO BE VALID - MUST complete the information in the following three sections:
1. Type of Program (select only one)*
  4-H
  America's Promise
  Bank Tour
  Career Day
  Credit
  Fraud/ID Theft
  Get Smart about Credit Day
  Homebuying
  In-school Bank
     Deposits Only (Total # of Persons Attending: = # of deposits)
     Deposits & Presentations
  Investment
  Job Shadow
  Junior Achievement
  National Teach Children To Save Day
    Presentation to Group (Less than 200)
  Presentation to Group (200 or more)
  Student Advisory/Bank Board
  Other
   
  2. Type of Group (select only one)*
    School: K - 4 5 - 6 7 - 8 9 - 12 College
  Teacher's Name:
First Last
School:
    Youth Community Group:
    Adult: Senior Citizen Low Income Business Civic Other
     
     
  3. Materials Used*
    Bank Materials
    TBA/ABA Videos and/or Brochures
    Regulatory Agency Materials
    Other materials: (please list complete title and publisher)
     
       
If you would like to send this information to your CRA Administrator, please enter their email address below.
Separate multiple email addresses with commas. (i.e. johndoe@tnbankers.org, bobsmith@tnbankers.org)
# of Presentations:* REQUIRED - MUST BE ENTERED FOR PEP CARD TO BE ACCEPTED
Total # of Persons Attending:* REQUIRED - MUST BE ENTERED FOR PEP CARD TO BE ACCEPTED
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