Scholarship Candidate Form for 2018 Impact 100 Grant Process

Name of Applicant: Click here to enter name.

Address: Click here to enter address, including city and zip code.

Phone Number: Click here to enter phone number.Email: Click here to enter email.

Current School or Employer: Click here to enter school or employer.Age: Click here to enter age.

Donors to Impact 100 have established a limited number of scholarships for women of our community to experience women’s collective giving. Candidates must:

☐Live inMarion, Hamilton, Hancock, Shelby, Johnson, Morgan, Hendricks or Boone County in Indiana

☐Be in the early stages of their career, meeting AT LEAST ONEof these criteria:

  • Between the ages of 23-36
  • Pursuing a degree in philanthropy or not-for-profit management
  • Within the first ten years of a career in the not-for-profit sector

☐Pledge to:

  • Actively participate in the grants process by serving on a Focus Area Committee
  • Attend the Annual Dinner on June 12, 2018, where grants are awarded, volunteering if possible
  • Attend a minimum of two Impact 100 social events, volunteering if possible
  • Make at least two social media posts about their experience as an Impact 100 member

☐Should not have been a scholarship recipient previously

Please answer the following questions. You may want to learn more about usat

  1. Do you know how a collective giving circle works? Please explain your understanding of the concept.
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  2. Why do you want to be a scholarship member of Impact 100?
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  3. What contribution do you think you can make to a Focus Area Committee? Tell us about any educational, work or volunteer experiences you may have had to prepare for this role.
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  4. What are your philanthropic interests? Of our five grant-making areas (Arts & Culture, Education, Environment, Family and Health & Wellness), which one interests you most and why?
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  5. If you could create a dream philanthropic project with no funding restrictions, what would it be?
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  6. How did you hear about our scholarship program?
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Please combine your completed form with a copy of your resume into a single pdf document and email to . Name the pdf file with your name followed by “Impact 100 Scholarship Program”, and use the file name as the Subject of your email.

Applications must be receivedby5pm on December 6, 2017 to be considered.