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* 1. Name:

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* 2. Email:

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* 3. Phone:

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* 5. How long have you been a member of AFP?

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* 6. Job Title and Organization Name:

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* 7. How many years have you been at our organization?

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* 8. How many years have you been in the profession? You must be in the profession for 5 years or more to qualify for this scholarship

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* 10. Please share your supervisor's name, title, and email as confirmation of the previous question.

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* 11. Please check all that apply.

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* 12. Have you been involved with AFP in the past or currently?  Check all that apply.

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* 13. What is the most rewarding part of our career as a fundraising professional? (please limit your response to 3-5 sentences)

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* 14. What is the most challenging part of our career as a fundraising professional? (please limit your response to 3-5 sentences)

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* 15. Why do you feel that taking time to rejuvenate would be beneficial to you personally and professionally? (please limit your response to 5-7 sentences)

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* 16. If you receive this renewal scholarship, how would you use it?  Please be specific and provide details, including location, timeline, cost, etc. (please limit your response to 5-7 sentences)

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* 17. I am employed as a full-time fundraising professional or spend at least 50 percent of my time fundraising for my employer.  If I receive this scholarship, I will provide AFP-IC with a testimonial that can be used on social media, the website, and other chapter documents.  By including your name and today's date below, you are confirming the statement above and that all information included in this application is correct.  Electronic signature for confirmation.  Please include your name and today's date.

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