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* 1. Name:

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* 2. Email:

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* 3. Phone:

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* 5. Job Title and Organization Name:

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

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* 7. How many years have you been in the profession?

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* 9. Please check all that apply:

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* 10. Please state the total budget of your organization.

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

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* 12. Please explain why you are interested in this scholarship and the Spring Conference program.

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* 13. I am employed as a full-time fundraising professional or spend at least 50 percent of my time fundraising for my employer.  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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