AFP International Membership Application

NORTH CENTRAL OHIO CHAPTER

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

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

AFP INTERNATIONAL MEMBERSHIP SCHOLARSHIP APPLICATION

2009 PROGRAMS

NATIONAL PHILANTHROPY DAY

CAREER SUCCESS INSTITUTE

CHAMBERLAIN SCHOLARSHIP

EVERY MEMBER CAMPAIGN

AREA FUNDERS & RESOURCES

Recognizing there are individuals who would like to be members of the AFP North Central Ohio Chapter but whose organizations may have difficulty paying the annual membership fees, the Chapter is pleased to announce scholarships for those with demonstrated need and an interest in being active in the Chapter. These scholarships will help defray membership costs for those in the non-profit sector who wish to advance their skills and knowledge in the field of fundraising.

AFPNCOH will provide the recipient with a scholarship to cover the cost of AFP International’s membership fee ($250 for Active and Associate memberships; $100 for Introductory); the recipient will be responsible for paying local dues of $35.00. All scholarships presented to current members will become effective once their current membership has expired.

If you have any questions please do not hesitate to contact Lisa Mastriano, VP Membership, at lisapregnancycare@sbcglobal.net or 330.253.4071 with any questions.

Applicant Information
Today's Date
Applicant's Name
I understand that the scholarship covers the international membership fee; I will be responsible for local chapter dues of $35.
Are you a current AFP member??	No, I am not. Yes, since and my membership expires
Job Title
Employer
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??	yrs. mths.
Overall number of years in the profession
Organization Information (if currently employed):
What is your organization's annual budget??
Does your organization have a budget specifically for professional development??	No Yes
If so, approximately how much is allocated for your position??
If you are a current member, is your membership paid by your employer??	No Yes
Which membership category best fits your current situation?? Please see the following sheet for an explanation of each level	Introductory Associate Active
Individual Participation:
Please list all AFP sponsored events you have attended in the past year:

Please list any AFP committees on which you currently serve or have previously served:

Please explain how you intend to pay for your AFP membership after your scholarship expires:

Please list AFP committees in which you would like to become involved:

Please list programs or events you would like to see presented:

Please enter this number in the field provided. If you do not, you will receive an error message.

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