GPC Application

The deadline for submitting a 2010 GPC™ Scholarship application is Friday, April 30, 2010, by 5:00 pm, Eastern Standard Time. To apply begin by selecting the GPC Scholarship button here:*

Bright Futures Scholarships (GPC Scholarship)

First Name*

Middle Name or Initial

Last Name*

E-Mail Address*

Organization Name

Street - Line 1*

Street - Line 2

City*

State*

Postal Code*

Country

Daytime Telephone*

Evening Telephone

Fax Number

Are you currently a member of AAGP?*

YesNo

If you are a MAAGP member, enter your membership number

Do you adhere to the AAGP Code of Ethics?*

Find the AAGP Code of Ethics here.
YesNo

Why are you seeking Grant Professional Certified (GPC) credentialing?*

(Please limit your response to no more than 250 words.)

How will receiving your GPC benefit your organization? Please include a brief description of your organization.*

(Please limit your response to no more than 250 words.)

What is your background in the grants field?*

(Please limit your response to no more than 250 words.)

What other factors/needs would you like us to consider in making this decision?*

(Please limit your response to no more than 250 words.)

Senior Officer's Name*

Please include the first and last name and contact information of the most senior member of your agency (yourself if self-employed) for verification of the information listed. He/she will receive an e-mail copy of your conference scholarship application.

Senior Officer's Title*

Senior Officer's telephone*

Senior Officer's e-mail*

Reference's Name*

Please include the first & last name and contact information for a professional reference, either in the grants field or in your agency. He/she will receive an e-mail copy of your conference scholarship application.

Reference's Title*

Reference's telephone*

Reference's e-mail*

I have read the Terms of Application on the bottom of this page and by submitting this application for, I signify my agreement thereto.

Submit Application