ARDPI Community Philanthropy Application
2014 Brushy Fork Annual Institute: September 23-26 at Berea College
Name of Team Convener
Email (to send notification of scholarship decision)
Which of the following describes your team members:
We are both first-time attendees.
We are both past scholarship recipients.
Team includes both first-time attendee and past scholarship recipient.
Has either team member participated in a philanthropy track as part of a past Brushy Fork Annual Institute?
Which ARDPI eligible county do you represent?
Please list the name, organization, and county of residence for each team member:
Briefly explain what your team members are working to accomplish within your community in regard to community based philanthropy:
Please describe how your team plans to employ the skills developed at the Annual Institute in service to your community:
If granted scholarship funds, team members commit to the following: (Please check to verify consent.)
full participation in the Community Based Philanthropy track at the 2014 Brushy Fork Annual Institute.
participation in follow-up interviews and evaluations that indicate how we are using the skills developed at the Annual Institute.
Do Not Fill This Out