Potential Client Vetting Form
Helping Community Banks Enhance Security and Operational Excellence
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Bank Name
Bank Asset Size
Bank Branches
ATM Locations
City / State / Zip
Regulatory Agency
Does the Bank have a dedicated Information Security Officer (ISO)?
Yes
No
Does the Bank have a dedicated Information Technology Officer?
Yes
No
Does the Bank have a Manage Service Provider (MSP) or an IT Consultant?
Yes
No
Does the Bank have an Information Security Committee?
Yes
No
If so, how many times a year does the committee meet?
Monthly
Quarterly
Annually
As Needed
What services are you most interested in? (Check all that apply):
Vendor Management
Incident Response
Business Continuity
Information Security Related Policies
Risk Assessment
Audit Assistance
Exam Preparation
Cyber Security Awareness Training (Staff/Board)
Access Identity Management / Reviews
Tabletops / BCP Testing
Guidance / Advisory
New Vendor / New Product / New Service Review
ISO Coaching / Mentoring
Other
What are your primary goals for a consultant relationship?
Enhancing information security and compliance
Streamlining operational processes and efficiency
Addressing talent gaps and providing specialized expertise
Saving time and reducing workload for internal staff
Overcoming challenges related to staff being overwhelmed
Managing and mitigating risk effectively
Other
Additional Comments, Details, or Requests:
Submit
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