Membership Scholarships - AFP Quebec - Association of Professional Philanthropists

SECTION 1: BASIC INFORMATION

Last Name*

First Name*

Email*

Organization

Job Title

Mailing Address of Workplace

Address

City

Province

Postal Code

Phone number*

AFP Member ID (if applicable)

Which category best describes the activity area of your primary employer?

Arts, Culture & Recreation
Education and Research
Health
Social Services
Philanthropic Intermediaries
Other

Have you received a scholarship from AFP Quebec in the past 3 years?*

No
Yes, if so, what scholarship and what year?

I have read and understand the AFP Code of Ethics.

AFP Code of Ethics

SECTION 2: SCHOLARSHIP APPLICATION QUESTIONNAIRE

1) How do you feel membership in AFP-Quebec benefits you personally and professionally? (250 words)*

2) AFP-Quebec prioritizes members and organizations who demonstrate financial need when awarding our Membership Scholarships. Please explain how your (or your organization’s) financial situation qualifies you for consideration. (250 words)*

3) What percentage of your time do you spend on fundraising activities?*

76-100%
51-75%
26-50%
<25%
I have lost my job since March 2020 as a result of the COVID-19 pandemic

4) How many years have you been employed in the fundraising profession?*

SECTION 3: DEMOGRAPHIC QUESTIONNAIRE

AFP-Quebec is collecting demographic information for all scholarship applicants in an effort to investigate the diversity of our community. Doing so is optional, however we appreciate your help so that AFP can continuously strive to remove barriers to full and active participation in our programming and promote inclusion in our diverse community. All information that is submitted will remain strictly confidential, will be deidentified from the rest of your application, and its use is strictly for the purposes of AFP-Quebec’s research efforts.

1) Do you consider yourself to be an aboriginal/indigenous person?

Yes
No
Prefer not to say

For the purposes of this survey, aboriginal/indigenous persons include people who identify as First Nations (Status, non-Status, Treaty), Métis, Inuit, Native or North American Indian (including North and Central America and the Caribbean).

2) If yes, which best applies to you?

3) Do you consider yourself to be a racialized person?

Yes
No
Prefer not to say

For the purposes of this survey, racialized persons are people (other than Aboriginal/indigenous persons) who are non-white in colour and non-Caucasian in race, regardless of their place of birth or citizenship. (Sometimes referred to as “racially visible” or “visible minority”).

4) Please check all racial/ethnic groups that apply to you:

If other, please specify:

5) Do you consider yourself a person with a disability?

Yes
No
Prefer not to say

For the purposes of this survey, persons with a disability are people who have a chronic,long-term or recurring physical, sensory, mental, learning or intellectual impairment, that, in interaction with a barrier, hinders that person’s full and effective participation in society. This includes, but isn’t limited to, people whose functional limitations due to their impairment have been accommodated in their workplace (ex: by the use of technical aids, changes to equipment or other working arrangements).

6) If yes, please confirm the nature of your disability:

My disability is physical; such as: • Speech impairment (ex: unable to speak or difficulty speaking and being understood)• Chronic pain • Mobility, coordination or dexterity impairment (ex: difficulty using hands or fingers, difficulty walking long distances or difficulty using stairs)
My disability is sensory; such as: • Blindness/visual impairment or deafness/hearing impairment
My disability is mental; such as: • Emotional, psychological or psychiatric conditions (ex: anxiety, depression, bipolar disorder, schizophrenia, substance abuse, anorexia, etc.).
My disability is intellectual or a learning impairment; such as: • Autism Spectrum Disorder, Asperger Syndrome, Specific Learning Disability (ex: dyslexia, dysgraphia, dyscalculia), Attention-Deficit/Hyperactivity Disorder, Down Syndrome, Global Developmental Delay.
Prefer not to reply
Other

If other, please specify:

7) How do you describe your gender identity/expression?

Transgender
Gender non-conforming
Two Spirit
Queer
Cisgender Male (you self-identify with your birth sex)
Cisgender Female (you self-identify with your birth sex)
Prefer not to say

Note regarding language: Language, particularly in relation to sexual orientation, gender identity and gender expression, involves social constructs which evolve over time. The definitions above are not meant to label individuals but are meant to be helpful functional descriptors. They are not standardized and may be used differently by different people. For the purposes of this survey, gender identity refers to each person’s internal and individual experience of gender. It is their sense of being a woman, man, both, neither or anywhere along or outside of the gender spectrum. Gender expression refers to how a person expresses their gender through behaviour and outward appearance such as dress, hair, make-up, body language and voice. A person’s name and pronoun are also common ways of expressing gender identity.

8) How do you describe your sexual orientation?

For the purposes of this survey, sexual orientation refers to how a person characterizes their emotional and sexual attraction to others.

Principles of AFP IDEA – Inclusion, Diversity, Equity & Access

The Association of Fundraising Professionals (AFP) is committed to developing and maintaining a diverse organization that reflects, is responsive to, and embraces the diversity of the communities we serve throughout the world; respecting and valuing all people.

AFP is committed to promoting an inclusive, equitable and accessible organization where every member, volunteer, staff and board member can realize their potential and have their contributions valued.

AFP recognizes that Inclusion, Diversity, Equity & Access (IDEA) are central to its mission. The following are AFP’s Statement of IDEA Principles:

Recognizing others as different but equal.
Respect and empathy for all.
Trust and integrity that facilitates the integration of different and multiple voices in organizational discourse.
Demonstrated appreciation for different voices, active listening; open to disparate viewpoints and opinions, and facilitating dialogues among the diverse groups.
Practicing and encouraging transparent communication in all interactions.
Developing participative decision making; problem solving; and, team capabilities.
Exploring potential underlying, unquestioned assumptions that interfere with inclusiveness.

Consent to use of personal information*

We understand that by completing the information on this form, you agree that we may contact you for purposes of solicitation, recognition, invitation and information, unless you advise us otherwise. To learn more about AFP Québec’s commitments in terms of confidentiality, please consult our confidentiality policy, available at the following address: https://bit.ly/48sDRB3

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