THE FUNDRAISING ACADEMY

for Grassroots OrganizationsTM

Class of 2016Scholarship Application

We are delighted that you are interested in participating in the 2016 Fundraising Academy!

We need only a few pieces of information to process your Scholarship Application.

Please complete the reverse side of this form and send it by June 2, 2016to

Debbie A. Cannon at nd copy Paula Martinez

We will need to know that your organization is supporting your participation: The Academy will be 8½ days of trainings, plus additional time for peer-coaching and homework assignments. Please make sure that the person you report to (board chair, your supervisor) signs your application and understands the time and financial commitments.

Applications are due by June 2,2016, however the sooner you submit yours the better. There is space for only 30 in the class. We will review all applications and notify you by May 20 about acceptance.

Course Schedule: The first day of The Academy will be June 9, 2016. Additional course dates will be: June 23, July 1428, Aug. 11 & 25, Sept. 8 & 22, Oct.13 (½ day). Please hold these dates until your application is processed and you are notified about acceptance.

Costs: Selected Organizations will pay only a modest Scholarship Tuition fee of $500 - $1,500 based on the size of your annual budget (see below). The full Tuition to The Academy is $3,500. Scholarships are made possible through the generosity of AcademyGO Leadership Circle donors.

Upon scholarship application approval a $150 deposit will be required to hold your seat.

FULLPayment will be due no later than June 3, 2016.

Scholarship Tuitions:

$500 – Organization Budgets $0 - $999,999

$750 – Organization Budgets $1 million - $2,999,999

$1,000 – Organization Budgets $3 million -$4,999,999

$1,500 – Organization Budgets $5 million and above

AcademyGO Members receive an additional 20% discount.


THE FUNDRAISING ACADEMY

for Grassroots OrganizationsTM

Class of 2016 Scholarship Application Form

Please complete the following information. ALL fields MUST be completed. DO NOT MODIFY FORM.

Make a copy for your records and send the completed form to:

Debbie A. Cannon at nd copy Paula Martinez at

by June 2, 2016.

Name: ______Title: ______Telephone: ______

Organization:______

Organization Mailing Address: ______

E-Mail Address: ______Web Address: ______

Our organization serves Inland Empire residents. Yes No

Our organization serves low to moderate income persons. YesNo

Our annual Budget (expenses) for the most recently completed fiscal year was $______.

Our organization is a current Member of AcademyGO. YesNo

Please state how your participation in The Fundraising Academy will benefit your organization

ANDthe community.

I am the applicant’s supervisor and I approve of this application. I will support this applicant’s learning by allowing them to attend the course during work time. I understand that if accepted, a Scholarship Tuition of $500 - $1,500 (see reverse) will be due by June 3, 2016.

______

Signature - Board Chair or SupervisorPrinted NameDate

I am able to and agree to commit the time necessary to complete this course. (8.5 class days, plus 5 hours per month for homework assignments and peer-coaching.)

______

Signature of ApplicantDate

A program of Academy for Grassroots OrganizationsTM