2019 Scholarship Application Name Employer Name & Title Scholarship Type * AFP Membership Scholarships AFP Diversity Scholarships AFP Leadership Academy Scholarship AFP Member Professional Development Fund AFP International Conference/Chamberlain Scholarship Complete Address Business Phone Cell Phone Birth Date (MM/DD/YY) Email Address Years in Fundraising Profession Organization's Operating Budget Supervisor's Name/Title What is your organization's purpose/mission? How long have you been involved in development work (both paid and volunteer)? What are your responsibilities and roles? How will this scholarship enhance your career plans and/or job performance? Does your organization support your educational/professional goals? If so, in what way? Have you been involved in the Triangle Chapter of AFP? Please include committee and volunteer work: Please note the following: - An incomplete application will not be considered for scholarship awards. - Notification will be given within 30 days of acceptance or decline. - Upon notification of a scholarship award, please submit your own payment for the conference/membership, keep a copy of your receipt and submit for reimbursement to Laura Ridgeway, Lmridgeway@gmail.com. By filling in my name below, I agree to the terms in the scholarship application, and that the information above is true and complete Date of submission Please include a detailed summary below that demonstrates professional or personal financial need. Please be as complete as possible. Please ask your supervisor to read the statement below and fill in his/her name and date of approval. I endorse this applicant's participation in attending AFP monthly meetings and their active role on one AFP committee for a one-year period. Supervisor's Name/Title Date Phone Number
