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2018 Terry L. Simmons Scholarship Application


Application Dates
Awards are made by the ACGA Terry L. Simmons Scholarship Committee. Applications are due by December 8, 2017. Applicants will be notified the week of January 8, 2018.

Contact Information
First Name(*)
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Last Name(*)
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Organization(*)
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Job Title(*)
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Address(*)
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City(*)
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State(*)
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Zip Code(*)
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email(*)
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Phone(*)
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Application Information
Years in planned giving(*)
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Percentage of time devoted to planned giving(*)
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Have you attended the ACGA Conference in the past(*)
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When?
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Describe your interest in planned giving and attending the Conference(*)
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Name of supervisor, if employed by an organization; otherwise, the name and telephone number of a reference(*)
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Please attach a copy of your resume (2MB Max - MSWord document or PDF).(*)
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Organization Information
Are you employed by an organization?(*)
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Years in existence
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Organization's Mission
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Nature and extent of planned giving program
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Organization's non-profit status (e.g. 501(c) (3))
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Annual Operating Budget
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Development budget
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Planned giving budget
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Endowment
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Application Acknowledgement
I acknowledge that information provided in this application is true and accurate to the best of my knowledge.(*)
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Signature (Please type your name to indicate you are submitting this document with your signature)(*)
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