DONOR(S) NAME: DONOR Contact Name:
Mailing Address: DONOR Contact Phone:
DONOR Contact Email:
City, State, Zip:
Phone/Cell:
Email:
NAME OF FUND (if applicable):
AMOUNT OF THE GIFT:
STAFF CONTACT:
DATE:
OTHER PROVISIONS TO BE MONITORED: e.g. selection process; NSU reporting requirements
HOW THE GIFT WILL BE FUNDED: e.g. paid all at once; payment schedule; assets to be used
ADVANCEMENT AND COMMUNITY RELATIONS
GIFT AGREEMENT WORKSHEET
GIFT PROVISIONS: How the funds are to be used by NSU. e.g. professors, scholarships, equipment; for whom? how often ? who
decides? endowment? Criteria for selection - academic achievement, financial need
DESIGNATION: School, College or Center to receive funds (if applicable):
PURPOSE OF GIFT: What the donor wants to accomplish by making the gift - e.g. honor or memorial, stimulate research, provide
opportunities for students in financial need, attract the best students/faculty, develop a new program
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Last Revised 10/22/2015