Your Institution

Core Vendor Background Info

For example, Fiserv Premier or Jack Henry Silverlake

Who is your SAM or Account Representative?

In House or Outsource?

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What is the end of term of your core agreement? If you only know the month and date, then please put the 1st of the month as the specific day (for example, 12/1/2022).

Please select all services provided by your core vendor. If you do not know them all, no sweat, simply check what you know.

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Third-Party (Outside of Core) Relationships

Please list your key third-party vendors (if applicable) and the system(s) they provide. (For example, Q2/OLB, Mobile or Finastra/LaserPro)

Debit Card Info

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Project Highlights

You can select as many of these as you like or simply put "other" and we can discuss on the phone.

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In 18-months, if you were to look back on an engagement with our team, how would you define success? It's a tough question, but if you have a clear picture in your mind, we would like to know.

Anything else on your mind? Please share.

Team Info

Anyone else on your team we should know about? Name and Title would be great if you can spare a few more minutes.

Your Information

IT Stuff

Do not feel like you have to share, just curious.

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Who did you use for your last IT audit?