Gift Agreement Process Form : Giving to Texas State University : Texas State University

Donor(s) Name(s) *

Address *

City *

State *

Zip Code *

RE Donor ID *

Donor Signature Email *

Gift Amount *

Type of Fund

Please skip this question if the fund is a Brick and Mortar Renovation Project.

Endowed

Non-Endowed

Scholarship

Fellowship

Faculty Chair

Name of Endowment

Name of Fund

Scholarship Recipient

Graduate

Undergraduate

Both

Fellowship Recipient

Program Support

Research

Recipient

Faculty Chair

Faculty Professorship

Blended Gift or Pledge?

Blended Gift

Pledge

Both

Number of years (5 or less)

Is this a Brick and Mortar Renovation project?

Yes

No

Is this a request to amend an existing MOU?

Yes

No

Specific Purpose (Criteria) include College/Department or Division, major, GPA, financial need if needed:

Scholarship Administration (renewal more than one year to the recipient(s) selected?) *

Yes

No

How many years to renew?

Up to three for undergrads, if freshman can be selected.

Bio information about the donor or namesake of the endowment if needed:

Gift Acknowledgment / Recognition Consideration: *

Gift Officer making request: *