Governor's Scholars Program Foundation · Governor's Scholars Program Donation Form

Which Fund would you like to contribute towards? *

These funds are ways we categorize our donations. Pick one you would like to support.

Aris Cedeno Fund for the Future

General Fund

Hal Smith Scholar Fund

Who is donating? *

Are you making a donation on your behalf or for an organization?

Individual

Organization

Are you an Alumni? *

Alumni are those that completed the summer program.

Are you a relative to an Alumni? *

Alumni are those that completed the summer program.

Relation to Alumni

Optional: This helps our team identify you in our records

Are you a board member to GSP/Foundation? *

Relation to Program? *

Please help us determine your relation to the program (Ex: High School Counselor, Friend of __ Alumni/Parent, etc...)

Type of Organization? *

Corporation

Foundation

Amount *

$1,000

$500

$250

$100

$50

$

Donation Schedule

Continue donating until

(mm/dd/yyyy)

Would you like for this donation to be anonymous? *

If yes, your donation will not be publicly available in our promotional material.

This donation will be matched by my employer *

This is for us to ensure your corporation's matching gift is recorded properly.

Name of business matching your donation *

Please type out acronyms.

Would you like a physical copy mailed to you, in addition to your automatic emailed tax receipt? *

An automatic email tax receipt will be sent to the provided email. You may request a physical copy here.

Contact Information

Your Organization Name

Only required for Organization donors. Please type out acronyms. Optional for individual donors.

Prefix *

How are you to be addressed? (Mr, Ms, Mrs, etc...)

Your Name *

First Name

Last Name

Suffix

Optional: Please add any relevant suffixes/post nominal letters. (Ex: Jr, II, III, PhD, CPA, Etc.)

Your Middle Name/Initial

Optional: This helps our team identify you in our records

Alumni-Relative's Name (Ex: your child, spouse, etc). Please provide maiden name during their GSP summer.

Prefix

First Name

Last Name

Suffix

Alumni-Relative's Campus

Optional: This is the campus your alumni-relative completed their GSP summer.

Alumni-Relative's Year

Optional: This is the year they completed the GSP program. (Ex: 2003)

Your Scholar Last Name (Alumni Maiden Name during your GSP summer) *

This helps our team identify you in our records

Your Alumni Campus *

This is the campus where you completed the summer program.

Your Alumni Year *

This is the year you completed the summer program. (Ex: 2003)

Email *

Only used for donation troubleshooting and an automatic tax receipt. If you don't receive this email please check your spam folder.

Verify Email *

Phone *

Only to be used for donation troubleshooting.

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Did one of the following prompt you to donate? *

Select all that apply.

Mail

Email

Social Media

Word of mouth

Other

Any comments, questions, or concerns?

We will reach out to you about any question you may have.