Scott Community College Foundation Donation Form

Eastern Iowa Community Colleges - THE Community's College

Scott Community College Foundation Donation Form

Asterisk (*) indicates a response is required.

A full-time student may spend as much as $1400 on tuition not including materials, books and fees. The number one reason students drop-out is the lack of funding support. Your gift will directly help assist students.
Your gift could help in the following ways: $150 could help one student for one credit hour $250 could help a student purchase required equipment and/or tools $500 could help a full-time student purchase books needed for one semester $1,000 could help cover half the tuition and book costs for a full-time student $2,000 could help cover the tuition of one semester for a full-time student $2,500 could help cover the tuition and book costs for one semester for a full-time student
Your Donation Amount: $

My Employer will match this gift: Name:

This gift is being made in tribute to someone special:
In honor of: In memory of: Name:

Apply my contribution to:(please select one)
Area of Greatest Need General Scholarship Fund for Deserving Students Specific Scholarship Existing Fund: ACR Tool Loan Community Outreach Educational Programs Emergency Loans Equipment & Facilities Library & Learning Resources Professional Development & Student Advancement Other: (please explain your contribution wishes)

Would you like to be contacted? I would like to be contacted by the Foundation Office to establish an Endowed Scholarship I would like to be contacted by the Foundation Office to establish an Annual Scholarship

Donor Information
Company:
Title:
First Name:
Last Name:
Address:
City:	State: Zip:
Email:
Telephone: (please include your area code)

I am a Scott Graduate: Graduation Year:
To learn more about making a gift, please contact the SCC Foundation at 563.441.4063, or send an email to lhegland@eicc.edu. Once this on-line form is received and processed, you will be contacted to confirm your donation and to make arrangements for payment. Thank you in advance for your support!