Donor Information

*First Name*

*Last Name*

*Address*

Other Address

*City*

*State* AL AK AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY NL Zip

Country

Home Phone

Business

*Email*

Relationship

Alumnus/Alumna Parent Friend Student Faculty/Staff

Graduation
(first degree)

Learning Resources & Services Mountainland Advanced Technology Center School of Business School of Computer Science & Engineering School of Continuing Education School of Humanities, Arts and Social Sciences School of Sciences and Health School of Technology, Trades and Industry

Year

2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940

I Qualify As A:

--Select From Below Current Student Past Student Alumnus Graduate Advisory Board Member Faculty/Staff

Faculty or Staff: M/S
Faculty or Staff: Ext

Designation

--Choose Designation Athletics Business Continuing Education Education Faculty and Staff Library Campaign New Library General Academics Giving of the Green Humanities, Arts, & Social Sciences New Library President's Discretionary Fund Scholarship Science and Health Student Affairs Student Government Technology and Computing Wasatch Campus Other

Gift

*Amount*

1000 500 100 50 Other

or other amount: $

Comments

Matching Gifts

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All gifts are processed by Utah Valley State College Foundation.

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