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AFP-NM Chamberlain Scholarship Application
AFP Foundation Chamberlain Scholarship Program
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* Indicates required question
Name
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Your answer
Are you a member of AFP-NM? You do not have to be a member to apply.
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Yes
No
Email Address
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Your answer
Phone Number
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Your answer
Job Title
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Your answer
Employer
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Your answer
Business Address (Street Address, City, State, Zip Code)
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Your answer
Work Phone Number
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Your answer
Business Website
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Your answer
Supervisor Name
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Your answer
Supervisor Contact Information
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Your answer
Years in the Profession
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Your answer
Previous Training in Fundraising
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Your answer
Please briefly share your interest in AFP ICON:
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Your answer
How do you contribute to the diversity of the AFP-NM Chapter? This could include your personal life experiences, perspective or identity.
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Your answer
I am employed as a full-time fundraising professional or spend at least fifty percent of my time fundraising for my employer. I have never attended an NSFRE/AFP International Conference on Fundraising and understand that only one person from my local organization can be selected.
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Yes
No
Date
*
MM
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