APPLICATION for 2018CHAMBERLAIN SCHOLARSHIP
2018International Conference on Fundraising
Requirements: Candidate must have a current AFP Hampton Roads membership in good standing. Candidate must be currently employed by a non-profit and have worked in the development profession for at least three years. Candidate has never attended an AFP (or NSFRE) International Conference on Fundraising as a registered participant (unless as a member of the Conference Host Committee). Candidate agrees to complete and return an Evaluation Form about his or her experience to the Scholarship Committee. (Registration and up to $1,000 for expenses will be available for this scholarship).
I. Personal Information
______
NameTitle
______AFP Membership #______
Organization Name
Organization AddressCityStateZip Code
Home AddressCityStateZip Code
______
Organization PhoneE-Mail
# of Yrs at Organization# of Yrs in Profession AFP Member?
II. Rationale for Attendance
Please explain, inthe space provided or on a separate document, why you would like to attend the conference or course and the benefits of your participation.
The intent of this scholarship program is to make available continuing educational opportunities, which would not otherwise be available totheparticipant. Please answer the following questions:
Would you be able to attendtheprogram without this scholarship? ____Yes ____No
Does your organization budget for conferences/seminars? ____Yes ____No
Do you work for a 501(c)(3) organization? ____Yes ____No
Please statethe total budget of your 501 (c)(3) organization $______
Do you work for a for-profit consulting firm?____Yes ____No
APPLICATION for 2018CHAMBERLAIN SCHOLARSHIP (continued)
2018International Conference on Fundraising
Have you previously received an AFP scholarship?____Yes ____ No
If yes, please indicate when______
I agree to complete and returnthe post-conference Evaluation Form and Final Accounting Form. I agree to submit a copy of a receipt of registration for the conference. Finally, I agree to report on my experience at the International Conference to the membership at a monthly luncheon and serve on an AFP-HR committee for a minimum of one year following the conference.
Applicant’s SignatureDate
Applications should be received bySeptember 13, 2017and should be sent to: Reese Beeler, Scholarship Committee Chair, 733 Graydon Ave, Norfolk, VA 23507 or email application to. For questions call Reese Beeler at 757-971-3221.