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Membership Scholarship Application

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Fields marked with an * are required

First Name *

Last Name *

Address *

City *

Zip / Post Code *

Work Phone *

Cell Phone *

Email *

Organization

Title

Organization Website Address/URL

Organization’s Operating Budget *

Number of years in fundraising *

Number of years as Allied Professional *

What is your financial need for this scholarship? *

Are you a member of any other professional organization? *

How will you and your organization benefit from this scholarship?

Do you have any questions?

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