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My Donation
Thank you for taking the time to help young people get the support they need to be successful in school and in life!
Contact Information
Please fill out this information fully so we may thank you properly for your generosity.
Name
*
First Name
Last Name
Email
*
Address
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Address Line 2
City
State/Province
ZIP/Postal Code
Country
Phone
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This information is required so we may contact you in case of billing inquiries.
My Company/Employer
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Please write the name of the company you work for, as your company may be willing to match your donation.
My Gift
I would like to make a donation of...
*
$1,000
-
provides emergency support to student families facing economic insecurity, such as groceries, rent assistance or transportation
$500
-
provides students with attendance incentives for an entire year
$250
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provides students at one school with healthy snacks for 3 months
$100
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provides a student with basic needs, such as food, clothing, and hygiene items as needed
$50
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provides snacks for student intervention and enrichment groups at one school per month
$
Donation Schedule
One Time
Monthly
Quarterly
Annually
Check this box if you want this donation to be anonymous.
Is this a tribute gift?
*
No
Yes, in honor of...
Yes, in memory of...
Name of the person this gift is honoring
Prefix
First Name
Last Name
Suffix
To whose memory is this gift dedicated?
Prefix
First Name
Last Name
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Would you like the honoree to be notified of your tribute gift?
Yes...
No
May we notify a friend or family member of your memorial gift?
Yes...
No
Please notify the following person of my memorial gift...
First Name
Last Name
Honoree's Email Address
Email address of the person to be notified of my gift.
You can make an even bigger impact...
...by checking the box below. When you help cover the processing fees, we can do more with your gift.
Add 3% to my total amount to help cover the payment processing fees
