Kenya Association of Fundraising Professionals

Membership Application FORM

PLEASE NOTE - Membership year runs every 12 months upon application

Membership to KAFP is NOT transferable.

I wish to apply for membership of KAFP as: / o
Regular Member / o
Group Member
Please print clearly
Personal & occupation details:
First Name:
Surname:
Title (Mr/Mrs/Ms, etc): / ID Number:
Business Address: / Postal Code:
Home Address: / Postal Code:
Postal Address: / Postal Code:
Contact Numbers / Office Tel: (0 ) / Fax: (0 ) / Cell #:
Email:
(please print clearly)
Employer:
Organisation’s Website: / NGO Reg number:
(If applicable)
Legal Structure of Organisation: / INGO / NGO / Trust / Other (if applicable)
(See next page if employed by Fundraising Company/Consultancy/Self-employed)
Position title: / Period of service:
Have you undertaken Fundraising training? / o Yes o No / Name of educational institution:
Fundraising Profile
Job Title
Brief Job Description
Fundraising experience:
Previous Positions held:
1.
2. / Organisation:
1.
2. / Period of service:
1.
2.
Other experience:
(Attach a short CV separately if necessary)
Recommendation by Employer
(to be completed by the Organisation where applicant is an employee*)
I declare that the information submitted by the applicant is true and correct.
Signed: (Director/Chairperson/Trustee) / Date:
Name of Director/Chairperson/Trustee:
Postal Address:
Tel #: / Fax #: / Cell #
* Self-employed persons please complete the section below
Employee of Fundraising Company/Consultancy/Self-employed
(This section only to be completed if applicable)
Name of business
Self-employed / o Yes o No
Summary of main fundraising services offered:
Organisations for which
funds were raised in the past: / Organisation:
1
2
3 / Contact Name
1
2
3 / Telephone #:
1
2
3
Certification and Formal Application
* Please refer to the Code of Professional Ethics before signing.
I hereby* certify that:
a)  My main remuneration is not derived from commission payments or a percentage of funds raised
b)  I have read, understand and undertake to observe and abide by the Code of Professional Ethics
c)  I hereby apply for Membership to the Kenya Association of Fundraising Professionals
Signature of applicant: Date:
Membership Fees
INDIVIDUAL REGISTRATION / Group REGISTRATION
[1] Registration Ksh. 10,000 / [2 - 5] Individual Fee Ksh. 8,000 (each)
[6 - 10] Individual Fee Ksh. 6,000 (each)
Annual Renewal fee = 50% of Entrance Fee!
o I enclose a cheque for the amount of Ksh in respect of Entrance Fee plus Annual Membership Fee
o Attached herewith direct deposit confirmation form.
Cheque/Cash Payments can be made to:-
ACCOUNT NAME Kenya Association of Fundraising Professionals
ACCOUNT NUMBER 10011200000540
BANK/BRANCH Consolidated Bank, Koinange Street
MPESA NO 0718 041 665
Advancing Ethical and Effective Fundraising