University Scholarship Alumni Sponsorship Form

Full Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Mailing Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Year of Graduation*

Department / Major*

Current Occupation / Employer

Donation Amount / Sponsorship Level

Scholarship Sponsorship (One-Time)

Support a student with a one-time scholarship donation.

$1,000.00

Annual Sponsorship

Provide ongoing support with an annual donation.

$500.00

Named Scholarship

Establish a scholarship in your name or a loved one's name.

$5,000.00

General Fund Contribution

Contribute any amount to the general scholarship fund.

$250.00

Total

$0.00

Message to Scholarship Recipients (optional)