NORTH CENTRAL OHIO CHAPTER

Serving members from Summit, Stark, Cuyahoga, Portage, Wayne, Tuscarawas, Medina, Jefferson, Carroll, and Ashland Counties

Office - 330-329-2472 | Fax - 330-315-0399 |Email - info@afpncoh.org

AFPNCOH CHAMBERLAIN SCHOLARSHIP
PROGRAM APPLICATION

2013 International Conference on Fundraising
April 7-9, 2013 - San Diego

The Chamberlain Scholarship Program is designed to help individuals serving nonprofit organizations develop their knowledge and skill in fundraising. This scholarship will be awarded to a current member of AFP who has never before attended a National Conference. If you are not a member, you must join AFP before submitting this application: click here to view the online membership application and membership fees.

The 2013 Conference will be held in San Diego on April 7-9, 2013. The Chamberlain Scholarship from the Foundation covers the cost of the conference for the recipient minus a nominal $10 scholar registration fee. In addition, the AFP North Central Ohio Chapter provides an additional $1,000 to help defray the expenses of travel and accommodations.

Application Deadline: October 1, 2012

Date:
Applicant's Name:
Member of AFP since:	(date on member card)
Job Title:
Employer:
Business Address:
City:	State:  Zip:
Business Phone:	000-000-0000
Home Phone:	000-000-0000
Email Address:
Website URL:
How long have you been responsible for fundraising with your present organization?	years  months
Overall Years in the Profession:	years
I have the approval of my supervisor to submit this application.
Supervisor's Phone:	000-000-0000
Please explain how you meet the requirements for your involvement in AFPNCOH, including committee work, CSI, Every Member Campaign, etc.
Why do you want to attend the conference, and how will this help you with your professional goals over the next 3 to 5 years?
What areas of fundraising do you hope to learn more about?
If the conference agenda is posted on the AFP National website,  what courses are of interest to you?
Tell us about your long-term professional goals. How will you enrich our community as a professional fundraiser? How will you use the experience to further your involvement with AFP?
Organization Information: Tell us more about your organization (i.e. mission, # of staff members, services provided, etc.) and how attending this conference would help you promote the goals of your organization.
What is your organization’s annual budget?	$
Does your organization have a budget specifically for professional development? If so, approximately how much is allocated for your position?	Yes     No   $
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.