Up & Coming Banker of the Year Application Form

Community Bankers of Iowa’s
Up & Coming Banker of the Year Nomination Form

If you prefer, download a copy of this form and submit to us via:
Mail: 521 E. Locust St. Suite 202, Des Moines, IA 50309
Email: klee@cbiaonline.org • Fax: 515-453-1498

All nominations must be received no later than 5:00 pm June 30, 2021.

To nominate an Up & Coming Banker, applications must meet the following criteria:
1. The nominated banker exemplifies the best in the future of independent,
community banking and is an integral part of their institution's leadership
plan.
2. Nominated bankers must work at a bank that is a member of the Community
Bankers of Iowa.
3. Applications may be submitted by any banker, but must be endorsed by a
member of Senior Management.
4. Nominees should be a member of the Leaders of Tomorrow (LOT) program,
but it is not a requirement.

* Indicates required field

Nominee Name *

First

Last

Nominee Title *

Bank Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Nominee Email *

Nominee Phone *

Nomination Submitted By: *

First

Last

Title *

Bank Name *

Email *

Phone Number *

Nomination Endorsed By: *

First

Last

Title *

Bank Name *

Email *

Phone Number *

Please attach a letter stating why your nominee deserves to be the 2018 Up & Coming Banker of the Year.

Upload File *

Max file size: 20MB

Files are accepted in the following formats: PDF, Word Doc (.doc or .docx), Excel (.csv, .xls or .xlsx), TXT, RTF, or Powerpoint. To send two or more items at once, please send a compressed file. Compressed files containing multiple documents can be accepted in ZIP format.

All nominations must be received no later than 5:00 pm June 30, 2021.

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Community Bankers of Iowa’sUp & Coming Banker of the Year Nomination Form

Community Bankers of Iowa’s
Up & Coming Banker of the Year Nomination Form