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Nomination Form

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Nomination Form
Nomination for

Education Foundation of State Bank Supervisors

Examiner Advanced Training Award

2009 Term



Your nomination(s) must be postmarked no later than Monday, October 13 , 2008



All nominations and Supervisors’ comments will be held in complete confidence by the EFSBS

Board of Trustees. Under no circumstances will the Trustees give any nominees access to comments

provided by the Supervisor.



I nominate ____________________________________ for the Graduate Banking/Trust Scholarship Award.





I hereby attest to the accuracy of the facts included in the nominee’s application.





____________________________________________ _____________________

Signature of State Bank Supervisor (Only) Date







This entire document may be duplicated or entered into a computer and completed; format MUST remain as

original.



In order for applicants to remain anonymous from state identification, Sections B and C are to be completed

without state reference.



Sections A, B, and C are to be completed solely by the nominee and attached to this cover sheet. Send to:



Conference of State Bank Supervisors

EFSBS Scholarship Awards Program

Attn: Roger Stromberg

1155 Connecticut Avenue, N.W.

Suite 500

Washington, DC 20036-4306



All applications must be postmarked no later than Monday, October 13, 2008



If there are any questions or more information is needed, please call Roger Stromberg

1-800-886-2727.

SECTION A





1. PERSONAL DATA



Name _________________________________________________________________________________



Banking Department Address ____________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



Business Telephone Number ______________________________________________________________



Residence ____________________________________________________________________________



_______________________________________________________________________________________





2. EDUCATION



______________________________________________________________________________________

AIB/CFT Chapter City State Year



______________________________________________________________________________________

Banking School City State Year



_____________________________________________________________________________________

College City State Year



_____________________________________________________________________________________

Degree Major



_____________________________________________________________________________________

Graduate Work (College) City State Year



______________________________________________________________________________________

Degree Major





Year Attended CSBS Senior School _________________



NOMINEE’S CHOICE OF GRADUATE BANKING SCHOOL OR TRUST SCHOOL



_______________________________________________________________________________________

SECTION B





PLEASE DO NOT WRITE IN THIS SPACE. FOR EFSBS INTERNAL ONLY.



NOMINEE IDENTIFICATION NUMBER__________________________________________________





NOTE: Sections B and C only will be sent to EFSBS Selection Panel. When completing Section B, do

not use names or descriptions that will identify your state banking department.



EXPERIENCE



1. Banking Supervision



Total years service as a bank examiner (Federal _________) (State _________)



Total years of service as examiner-in-charge _____________



Total years of service as trust examiner _________________



Present position (title)

____________________________________________________________________



Present duties and responsibilities

___________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________

-B2-



2. Special Projects and/or Assignments

_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________







3. Previous position (title) ____________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________

-B3-



2. Total years service as bank employee

__________________________________________________



Highest position (title) ___________________________________________________________________



Duties and responsibilities ________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________







Other bank experience ___________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________



_______________________________________________________________________________________

SECTION C

DO NOT WRITE IN THIS SPACE. FOR EFSBS INTERNAL USE ONLY.



NOMINEE IDENTIFICATION ______________________________________________________





Essay Assignment: In approximately 500 words, discuss the following





Recruiting and retaining qualified and adequate staffing is a continuing challenge for most state banking

departments. Another way to address this challenge is to increase productivity of current resources through

improved processes and the use of technology. Productivity is not working harder and/or longer, it is about

your department meeting its statutory mandate in a new way that gains a greater return from your current

resources.



In your essay, describe how a banking department could increase its productivity by 50 percent over five

years while maintaining high quality standards in safety and soundness and compliance examinations.

Get creative. Current budgets, work rules or other barriers should not unduly restrain your ideas.



Your response should be a reflection of your own views and ideas and must include quotes from interviews

with at least one superior or co-worker, and at least one banker.







Good luck. We look forward to reading your essay.


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