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AFPSEWI Membership Scholarship Application
Deadline: Monday, November 18, 2019.

If you are the recipient of a scholarship, you are expected to share your experience with others in the chapter, through a presentation, newsletter article, or in some other way.
Please note: Partial scholarships may be awarded.
For which membership level are you applying? *
Have you received an AFP scholarship in the past? *
If yes, how many times and when?
Your answer
Applicant Name *
Your answer
Organization *
Your answer
Job Title *
Your answer
Email *
Your answer
Cell phone number *
Your answer
Organization phone number *
Your answer
Organization Address *
Your answer
Organization website *
Your answer
Organization annual budget *
Your answer
Does your organization have a Professional Development budget? *
Your answer
How many years have you been in the fundraising profession? *
How many years have you been a member of AFP? *
How do you participate in AFP? Please check all that apply.
What opportunities have you had working and collaborating in diverse, multicultural and inclusive settings? *
Your answer
What are your professional goals? Do you have your CFRE, or are you working towards it? *
Your answer
What benefits do you expect to see as a result of your participation? *
Your answer
Why are you applying for this scholarship? *
Your answer
Applicant Declaration:
By signing this application, I declare and acknowledge:
1. That, to the best of my knowledge and belief, the information and summary of activities as submitted in this application are correct.
2. That I, the applicant, meet the eligibility requirements as outlined in the AFP Southeastern WI Chapter Scholarship Program guidelines.
3. That I will be responsible for providing a written or oral report to the AFP Southeastern WI Chapter about the event covered by this application, so that I share the benefit of this experience with other Chapter members.
4. That if I receive a scholarship, my name may be printed in the chapter newsletter.
5. That I understand the information provided on this application may be used for research and statistical information.
6. That if any information is inaccurate, any awards may be reassessed and/or withdrawn.
7. That if I am awarded a scholarship, I must make arrangement to cover the costs, and AFP will reimburse me shortly after I submit the forms.
I acknowledge this with my name below. *
Your answer
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