Participant Application Form

Contact Information:

Name

Work Email

Personal Email

example@example.com

Financial Institution

Current Position / Title

Business Address

City

State

Zip Code

Work Phone Number

Cell Phone Number

Manager Information:

Manager's Name

Position / Title

Email Address

Business Mailing Address

City

State

Zip code

Phone number

Education & Career Information:

Please list your educational experience; noting any degrees, major areas of study and institution. Also, please provide a list of any formal training programs you have attended (i.e. CFT, Stonier School of Banking, etc.) as well as any training programs within your organization.

Education:

Training:

Provide Your Work History or a Copy of Your Resume

Upload Your File

How many employees directly report to you?

How many total years of supervisory/management experience do you have?

Other Information: Please provide any additional information you would like to share about yourself and/or your volunteer activities, honors/awards, presentations, publications, etc.

Next Steps:

We will notify you via email within one week of acceptance. Upon acceptance, you will be invoiced for the full tuition.

Rising Leaders Application