Membership Scholarship Application Complimentary 1-Year Membership

Membership Scholarship Application Complimentary 1-Year Membership

Thank you for your interest in applying for the AFP Northeast Iowa Scholarship! We believe in making our chapter accessible to everyone, especially during these exciting times. By offering a free 1-year membership, we’re inviting you to experience the benefits and opportunities we offer without any barriers.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Date of Birth

MonthDayYear
Date
ProfessionalAssociateYoung Professional
Education and Employment Information
High SchoolSome CollegeBachelor's DegreeGraduate DegreeOther
Employed Full-TimeEmployed Part-TimeUnemployedStudentSelf EmployedOther
01-9 years10-19 years20+ years
Please provide a brief explanation of why you believe you would benefit from a 1-year membership with AFP and how you would contribute to AFP's mission and vision.*
Describe any financial challenges or obstacles you are facing that would prevent you from paying for a membership.
Social MediaWebsiteReferral (Friend, family, co-worker)e-mail or newsletterOther
Agreement

By submitting this application, I confirm that the information provided is accurate and true to the best of my knowledge. I understand that this scholarship is based on availability, eligibility, and financial need, and there is no guarantee of receiving the membership.
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Membership Scholarship Application Complimentary 1-Year Membership

Education and Employment Information