Agricultural Lending School Application

July 10 - 14, 2023 ~ Manhattan, KS

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* 1. Enter your Contact Information

Full Name (as you wish it to appear on diploma)

Nickname or first name (for badge)

Last Name

Bank Name

Bank P.O. Box and Street Address

City

State

ZIP

Bank Phone Number

Attendee Cell Phone Number

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* 2. Additional information

Attendee Work Email *

Attendee Personal Email (Only required if you can't access your work email outside the bank. Testing and evaluations are done via email at the School.)

Main Bank Name (if different)

Main Bank Address (if different)

In case of emergency, contact (Name & Phone Number) *

Roommate Request, if Applicable (Name and Bank)

Job Position/Title *

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* 3. Enrollment Fee - Upon acceptance into the School, registrants will be invoiced by email for the applicable enrollment fee approximately two weeks before the School. Nonmembers of their State Banking Association must pay an additional fee of $950.

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* 4. Do you want your curriculum in electronic format only, or do you want printed materials? PLEASE NOTE: If you choose electronic, you must bring a tablet or laptop with your curriculum loaded and ready to go (will be provided in advance of the school) in the classroom. Some materials may still be provided in paper format for class exercise purposes.

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* 5. Total Assets of Your Organization

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* 6. Total Years Ag Lending Experience. PLEASE NOTE: This is an intermediate level school. Applicants with one year or less of agricultural lending or agricultural credit analysis experience must include a written letter from their nominating officer indicating work or educational experience which may substitute for this requirement. Please send this letter to schools@nebankers.org

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* 7. Total Size of Organization's Ag Loan Portfolio

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* 8. Total Size of Your Individual Ag Loan Portfolio

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* 9. Percentage of your time devoted to making Agricultural Loans

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* 10. Number of Your Agricultural Loans

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* 11. Rank your THREE major areas of experience (ONLY CHOOSE THREE; 1=area you've had most experience; 2=area you've had some experience; 3=area you've had least experience)

	1	2	3
Consumer Lending	Consumer Lending 1	Consumer Lending 2	Consumer Lending 3
Real Estate Lending	Real Estate Lending 1	Real Estate Lending 2	Real Estate Lending 3
Commercial Lending	Commercial Lending 1	Commercial Lending 2	Commercial Lending 3
Agricultural Lending	Agricultural Lending 1	Agricultural Lending 2	Agricultural Lending 3
Loan Administration	Loan Administration 1	Loan Administration 2	Loan Administration 3
Credit Analysis	Credit Analysis 1	Credit Analysis 2	Credit Analysis 3
Public Relations	Public Relations 1	Public Relations 2	Public Relations 3
Operations	Operations 1	Operations 2	Operations 3
Customer Service	Customer Service 1	Customer Service 2	Customer Service 3
Business Development/Sales	Business Development/Sales 1	Business Development/Sales 2	Business Development/Sales 3
Personal Trust	Personal Trust 1	Personal Trust 2	Personal Trust 3

Other (please also specify 1, 2, or 3)

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* 12. Please provide a brief summary of your major responsibilities in the bank:

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* 13. Educational Background:

Please specify college major if applicable

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* 14. Enrollment Agreement: I have read the School brochure and agree to abide by assigned housing arrangements and all requirements for completion of this School. I consent to the release of grades and other performance measures to my employer.

Applicant Name

Nominating Officer Name

Nominating Officer Title

Nominating Officer Email Address