Secured Gift Form

Office of Development | Henderson, NV 89015
Phone: (702) 992-2356 | Fax: (702) 992--2351
Email: Russell.Raker@nsc.nevada.edu


Gifts to the Nevada State College further the College's mission to educate the next generation of leaders for Nevada.

Please enter the following information if you would like to make a contribution.
Items marked bold are required fields.

Donor Information
Title:
First Name:
Last Name:
Spouse or Partner's Name:
Is this a joint gift? Yes No
Enter address, city, state and postal code
as filed with your financial institution.
Address:
Address Type: Home Business
City:
State:
Postal Code:
Country:
Email:
Email Type: Home Business
Phone:
Fax:

Gift Allocation
To make a donation: Please check the box next to your choice and enter the amount of your gift in the box to the right.

To make a pledge: Please contact the Office
of Development directly at (702) 992-2356 or email Russell.Raker@nsc.nevada.edu

ANNUAL FUND

General Scholarship Fund
Amount $

The General Scholarship Fund provides financial support to eligible.


Other (Please Specify Fund Below)

Amount $

FUNDRAISING INITIATIVES

Amanda Howard Scholarship Endowment Fund
Amount $

The Amanda Howard Scholarship Endowment Fund provides financial support to deserving students who are in the final two years of their nursing program. The endowment was established in honor of Amanda Howard, a committed and compassionate nursing student at BYU, who passed away in 2005 after battling leukemia.


Robert P. Ellis Scholarship Endowment
Amount $

This scholarship is reserved for eligible freshmen.


CAPITAL GIFTS

Nevada State College Nursing & Science Building
Amount $

The Nevada State College Nursing & Science Building, an estimated $40 million, 60,000 square foot teaching facility, is a high capital priority of the Nevada System of Higher Education Board of Regents. The Board is requesting that the Nevada Legislature allocate $30 million towards this facility. In addition to this legislative request, Nevada State College is in a $10 million campaign to complete the building.


Please contact the Office of Development if you wish to contribute an amount larger than $1,000 to the Nursing & Science Building

PLANNED GIVING
Please send me more information on Planned Giving arrangements.

Gift Instructions (optional)
This gift is in: In Honor of
On Behalf of
In Memory of
(name)
Special Instructions:

Payment Information
Amount: $
Card Type:
Card Number:
CVV2: Click here for CVV2 information.
Expiration Date: mm/yyyy

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