2015 Chamberlain Scholarship Program

AFP Foundation 2015 Chamberlain Scholarship Program

Application Deadline: October 10, 2014

Applications must be submitted to Karen Bajza at [email protected] or faxed to her attention at 323.851.1472.

For more information, contact Karen Bajza at [email protected] or Jeanne Warlick at [email protected] .

Eligibility Requirements: Applicant must be an AFP member.

Applicant must be employed as a fundraising professional or, if an executive director, devote a substantial amount of time to fundraising.

Applicant is required to attest that he or she has never attended an AFP (or NSFRE) International Conference on Fundraising as a registered participant (unless as a member of the Conference Host Committee).

Personal Data Applicant’s Name Are you a member of AFP? How long have you been a member of AFP? ______Job Title Employer Business Address City State Zip Business Phone Number Home Phone Number Email Address Website URL Supervisor’s Signature ______(or signature of an Executive Committee member on your organization’s board) Phone Number

Background Information Years in the Profession Previous Training in Fundraising (Please specify courses, seminars, conferences attended)

of 2 Professional Reference (Other than present employer) Phone Email

Would you be able to attend this year’s conference without a scholarship? Y__ N__ If you answered yes, please provide a brief explanation here:

Why should you win this scholarship and how will you benefit?

Would you be willing to share information about your experience at the conference with fellow AFP GLAC members at a chapter meeting? Y__ N__

Are you willing to commit to completing a post-conference online evaluation? Y__ N__

I am employed as a full-time fundraising professional or spend at least fifty percent of my time fundraising for my employer. I have never attended an NSFRE/AFP International Conference on Fundraising and understand that only one individual from my local organization can be selected.

______(Applicant’s Signature) (Date)