2021 Georgia Banking School Application

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* 1. Please enroll me as a:

First Year Student (Class of 2023)

Second Year Student (Class of 2022)

Third Year Student (Class of 2021)

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* 2. Applicant Information

First Name

Last Name

Company/Bank

Title

Area of the Bank (i.e. Commercial Lending, Marketing, Retail etc.)

Business Address

Business Address 2

City

State

ZIP Code

Email Address

Office Phone Number

Cell Phone Number

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* 3. Name (as you want it to appear on your name badge):

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* 4. Name (as you want it to appear on your diploma):

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* 5. Association status:

Note: Bankers from outside of Georgia are cordially invited to enroll. If your bank is a member of your state banking association, we will extend the member tuition price to you. Non-member student tuition is $2,965.

GBA Member/Associate Member

Non-Member Institution

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* 6. Total years in banking:

Less than 5 years

5-10 years

11+ years

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* 7. Total assets of bank:

$1 - $150 M

$151 M - $1.5 B

Over $1.5 B

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* 8. What is the highest degree or level of school you have completed? If currently enrolled, select the highest degree received.

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* 9. What are your primary areas of responsibility? (Select all that apply)

Accounting

Auditing

Branch Banking

Commercial Lending

Compliance

Consumer Lending

Credit Analysis

Information Technology

Marketing

Operations

Personnel/HR

Security

Other (please specify)

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* 10. Indicate housing preference and requests below.

Two students will be assigned per room with two double beds. You may note a roommate request or GBA will assign a roommate to you. Please note the UGA Conference Center Hotel is a non-smoking hotel.

Assign a roommate to me.

Reserve a single room for me for an additional $385.

I don't need a room.

I would like to share a room with:

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* 11. Special hotel requests:

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* 12. Gender (for room assignment purposes):

Female

Male

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* 13. Check all dietary restrictions or allergies. Kosher meals are not available.

Vegetarian

Nuts

Dairy

Pork

Shellfish

Gluten/Wheat

Other (please specify)

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* 14. Nominating Officer Information

First Name

Last Name

Title

Business Phone

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* 15. Upload a current photo for the Georgia Banking School student directory.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 16. Acknowledgment of School Commitment: I understand that, to qualify for graduation, I will be expected to attend all scheduled classes, prepare all assigned work, participate in classroom sessions, and satisfactorily complete all assigned home study problems. I hereby authorize the release of my grade to the GBA and my bank's CEO and/or nominating officer. This information is to be treated as part of my confidential personnel file.

I agree.

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* 1. Please enroll me as a:

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* 2. Applicant Information

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* 3. Name (as you want it to appear on your name badge):

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* 4. Name (as you want it to appear on your diploma):

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* 5. Association status: Note: Bankers from outside of Georgia are cordially invited to enroll. If your bank is a member of your state banking association, we will extend the member tuition price to you. Non-member student tuition is $2,965.

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* 6. Total years in banking:

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* 7. Total assets of bank:

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* 8. What is the highest degree or level of school you have completed? If currently enrolled, select the highest degree received.

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* 9. What are your primary areas of responsibility? (Select all that apply)

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* 10. Indicate housing preference and requests below. Two students will be assigned per room with two double beds. You may note a roommate request or GBA will assign a roommate to you. Please note the UGA Conference Center Hotel is a non-smoking hotel.

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* 11. Special hotel requests:

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* 12. Gender (for room assignment purposes):

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* 13. Check all dietary restrictions or allergies. Kosher meals are not available.

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* 14. Nominating Officer Information

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* 15. Upload a current photo for the Georgia Banking School student directory.

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* 5. Association status:

Note: Bankers from outside of Georgia are cordially invited to enroll. If your bank is a member of your state banking association, we will extend the member tuition price to you. Non-member student tuition is $2,965.

* 10. Indicate housing preference and requests below.

Two students will be assigned per room with two double beds. You may note a roommate request or GBA will assign a roommate to you. Please note the UGA Conference Center Hotel is a non-smoking hotel.