2023 Executive Leadership Certification & Community Bankers Summit Registration Form

The Community Bankers Summit is a 3-day program held at the University of Colorado Boulder scheduled for July 24-26, 2023. The program combines a one-day Community Bankers Summit, scheduled for July 24, led by GSBC faculty with a two-day (July 25 & 26) Executive Leadership Certification through CU Boulder’s Leeds School of Business.

Admission requirements specify that all applicants are employees, regulators or closely-related affiliates of a taxable, FDIC-insured financial institution or holding company of which he or she has received approval from a direct supervisor.

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* 1. What portion of the program will you attend?

Community Bankers Summit / Banking Day (July 24 only)

Community Bankers Summit & Leeds Executive Leadership Certification / Full Program (July 24, 25 and 26)

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* 2. Please enter your contact information.

First Name:

Last Name:

Company:

Title:

Address:

City:

State:

Zip:

Email Address:

Phone Number:

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* 3. Name for name tag (if different from above):

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* 4. Name for certificate (if different from above; include formal name and/or suffixes if desired)

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* 5. Are you a GSBC graduate?

Yes

If yes, what year did you graduate?

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* 6. Are you currently a GSBC Alumni Ambassador?

Yes

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* 7. What is your bank asset size?

to $50 million

$51 to $100 million

$101 to $250 million

$251 to $500 million

$501 to $750 million

$751 to $1 billion

Over $1 billion

Not applicable

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* 8. Would you like CPE credits for this program?

Yes

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* 9. Leeds Elective Preference: Participants may choose from two electives for their last class of the day on Tuesday, July 25. The options are: 1). Leading Through a Crisis and 2.) Conflict Management. Course descriptions may be found online.

Please select your preferred elective below. Note that priority enrollment for Conflict Management will be afforded to attendees who also attended in 2022.

Leading Through a Crisis (Cunningham)

Conflict Management (Box)

No Preference

None of the above - I am not enrolled in the Leeds portion of this program

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* 10. The preferred hotel for this program will be the Embassy Suites in Boulder. (Hotel accommodations are not included in tuition).
GSBC will provide bus transportation from the Embassy Suites to campus for this program. Campus parking permits will also be available for purchase.
Please indicate if you plan to use the busses provided or purchase a campus parking permit.

I plan to use the GSBC bus transportation.

I plan to purchase a campus parking permit.

Other (please specify)

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* 11. Please indicate your unisex t-shirt size below.

Small

Medium

Large

XXL

3XL

Other (please specify)

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* 12. How did you hear about this program?

Postcard

Referral

Social Media

GSBC Website/Internet Search

Other (please specify)

Upon completion of this form, your registration has been received. A formal confirmation and invoice will be sent via email upon processing, within 1-2 weeks of receipt. If you would like to pay online now via credit card, you are welcome to. We're looking forward to seeing you in July!