Fill out the form below. Fields marked with * are required!

Please indicate program you are applying for:*

February 18-20, 2008

Classes will be held at Loews Vanderbilt Hotel
Nashville, TN

DISCOUNTED TUITION DEADLINE: JANUARY 25, 2008

• TBA cannot accept applications after February 4, 2008

Tuition*
Payment in full is required with this application. Cost of housing and meals is not included in tuition fees.

Standard Tuition (applications received after January 25, 2008):

 TBA members/sponsors $1,120
 Nonmembers: $1,270

Any applicant withdrawing after January 25, 2008, but before February 4, 2008, will be refunded all fees except a $150 cancellation fee. There is no refund, with the exception of extenuating circumstances, if a registrant withdraws after February 4, 2008, or fails to attend the school. Refund requests must be submitted in writing to TBA.

Applicant Information

First Name*:
Last Name*:
Nickname*:
Title*:
Email Address*:
SS# (for tracking grades)*
Date of Birth:
Bank Name*:
Bank Address*:
City*:
State*:
Zip*:
Bank Phone*:
Correspondence Address*:
Correspondence City*:
Correspondence State*:  
Correspondence Zip*:

 


Housing

Rates for housing listed below apply only if TBA reserves your accommodations.

Do you wish the TBA to reserve a room for you at the Lowes Vanderbilt Plaza Hotel?*

Yes
No (if no, skip to next section)
If yes, please indicate which nights you will stay: Sunday, February 17
Monday, February 18
Tuesday, February 19
If you want a private room, click SINGLE. Please note that rates are $110 double/$165 single per night. Double - $110 per night/person
Single - $165 per night
Background information is helpful when assigning housing:

Nonsmoker
Smoker

Male
Female
Roommate preference:
(Roommate requests are accommodated when possible. To request a specific roommate, write in his/her name. If you do not have a preference, write NO PREFERENCE and the school will assign a roommate.)

 

Professional Information:

Education Background*:
(Select highest level attended)		 High School
Some College
Associate Degree
Bachelor's Degree
Graduate Degree
Total Years of Banking Experience* Less than 1 year
1-5 years
6-10 years
11-20 years
Over 20 Years
Total Years of Commercial Lending Experience* Less than 1 year**
1-5 years**
6-10 years
11-20 years
Over 20 Years

** Any bank experience and/or commercial lending experience less than 3 years requires written documentation from the CEO or the nominating officer supporting the request to waive this prerequisite.

 
Size of Bank's Loan Portfolio* Under $1 million
$1-$5 million
$6-$10 million
$11-$50 million
$51-$100 million
Over $100 million
Size of Bank (Assets)*

Under $50 million
$50-$100 million
$101-$500 million
$501 million-$1 billion
Over $1 billion
Other

Position in Bank* CEO
Relationship Manager
Senior Commercial Lender
Portfolio Manager
Senior Credit Manager
Other : Specify:
Bank Structure* Community
Affiliate/Bank Holding Company
Other

 


Education

High School/Prep:

Name of School
Year Graduated
Degree Received (if any)

College:

Name of School
Year Graduated
Degree Received (if any)

Graduate School/Banking School:

Name of School
Year Graduated
Degree Received (if any)

Other Relevant Training:

I have read the admission requirements and desire to enroll in the school. In applying for admission, I understand that I will be expected to attend all classes, to prepare assigned work, and to abide in all respects to the standards established by the school. I agree to the code of ethics set forth by the school. I authorize the school to release my completion status to the management of my institution upon written request from my CEO or nominating officer.

Applicant's initials*: Date*:

Nominating Officer's initials*: Date*:

Nominating Officer's Name*: Title*:
(please type "Same as Above" if applicant is CEO or president)

 

This institution does not discriminate with regard to race, religion, gender, or age.


Payment in full is required on the next page

TBA cannot accept applications after February 4, 2008