AFP Southeastern Wisconsin Chapter CFRE Study Course Scholarship Application CFRE Study Course —Milwaukee, WI October 13 & 14, 2015 Applications must be received by 5:00pm Tuesday, September 8, 2015 Recipients to be announced on Tuesday, September 15, 2015 Scholarship Overview CFRE Study Course (5 available) $100 award provided from AFP Southeastern Wisconsin Priority is given to members of the AFP of Southeastern Wisconsin chapter Current AFP membership is a requirement of all applicants Payment for the course must be made upfront. AFP will reimburse you shortly after the course. Demographic Information Applicant’s Name Employer Job Title Business Address City Business Phone Number State Zip _______ Home/Cell Phone Number E-Mail Address Number of years in the development profession _______________________________ Association for Fundraising Professionals Participation Are you a member of AFP? ___________ (You must be a member to qualify for a scholarship.) What AFP Chapter do you belong to? ______________________________________________ How many years have you been a member of AFP? ___________ How do you participate in AFP chapter activities? (Please list all activities and specify which group or committees.) ________________________________________________________________________ _________________________________________________________________________________ Have you received an AFP scholarship in the past? ______ Yes______ No If yes, for what and when? __________________________________________________ Fundraising and Development Experience What information are you hoping to learn from the course? How do you think this experience will benefit you and your organization? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What are your professional goals? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What AFP activities help you attain your professional goals? _________________________________________________________________________________ _________________________________________________________________________________ How will you share your experience with others? (Please note: a presentation at an AFP educational session and an article for the chapter newsletter will be required within 9 months of the course. How else will you share your course experience with others?) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Applicant Signature: Date: Shannon Watry CFRE Course Coordinator swatry@jawis.org Phone: 414-577-3835 (work) Applications must be received by 5:00 pm Tuesday, September 8, 2015. ___