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EVENT REGISTRATION
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Prefix: Mr.Mrs.Ms.Dr.
First Name:		Last Name:
Nickname/ Preferred Name:
E-mail:		Alt. E-mail:
Cell Phone:

Title:	Bank/Business:
Mailing Address:
City:	State: Zip Code:
Country (Non‑USA):	Bank Asset Size (In millions):

Phone Number:	Fax:

Home Information
Home Address:
Home City:	State: Zip Code:
Country (Non‑USA):

Home Phone Number:

Career Information

Bank President:

Bank President's E-mail:

Total Years in Banking or Related Fields:

Bank Experience:

Current Job
Responsibilities:

Educational Background:

FDIC Certificate Number:

Non-Bank Holding Company Supervisory Agency

Recommending Officer's Information
Prefix: Mr.Mrs.Ms.Dr.
First Name:		Last Name:

Title:	Bank/Business:
Address:
City:	State: Zip Code:
Country (Non‑USA):

Phone Number:	Fax:
E-mail:

Application Requirements

Completed online application form.
A letter of recommendation from your bank president, direct supervisor or the chairman of the board addressed to:
David Davis
SWGSB Foundation
PO Box 750214
Dallas, TX 75275-0214
Your $250 Non-refundable Deposit.

Program Fees


	$4,795 Tuition (per year and includes Non-refundable Deposit)
	$485 Private Room
	$100 Extra Night/Early Arrival
	$0 Hard copy of Course Materials

Cancellation/Refund Policy: A $250 nonrefundable tuition deposit must be paid upon registering. For cancellations before May 1, we will refund $4,545.00 (full tuition less $250 nonrefundable deposit). Between May 1 and May 15, we will refund 50 percent of tuition (less $250 nonrefundable deposit), or the bank may elect to send a substitute (if accepted) to the 2022 program. Although no refunds will be made after May 15, the bank may still elect to send a substitute (if accepted) to the 2022 program. We are unable to accept a substitution for anyone canceling within 5 days of the first day of the program. To meet University housing deadlines, requests for a private room or early arrival must be cancelled at least 5 days before the start of the program, otherwise those fees are forfeited. All cancellations must be in writing.

The payment of your tuition should not be construed as a graduation guarantee; students must successfully complete the program requirements by the due dates in order to graduate. It is each student's responsibility to stay abreast of all assignments, the due dates and the graduation requirements.

I have read and accept the Cancellation/Refund Policy and agree to comply fully with its provisions, and now apply for admission to the Southwestern Graduate School of Banking. I understand that the balance of the tuition is due 30 days after notification of the acceptance. If the application is submitted less than 30 days before the program start date, I understand that the balance of the tuition is due immediately upon acceptance. I take responsibility for payment of the tuition fee and have read the refund policy above. If accepted, I agree to live in the assigned resident hall, attend all of the scheduled classes and seminars, complete all assigned work within the time prescribed, and otherwise comply with the school's policies and standards.

I will mail a check.

Billing Address:

Same as Mailing Address
Different Billing Address

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