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* 1. Please provide your contact information.

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* 2. Are you a member of AFP

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* 3. If you are an AFP member, please provide your membership number. If not put "not applicable".

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* 4. How many years have you been employed as a fund raising professional?

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* 5. How long have you been responsible for fund raising with your present employer?

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* 6. Which committee would you be interested in serving on?

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* 7. Why do you want to receive one of the scholarships. (Less than 150 words)

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* 8. Please provide a professional reference.

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* 9. Please submit your resume 

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