ORANGE COAST COLLEGE
Scholarship Donor Form
Do not use
Selection Criteria
We will select recipients from applications that the
students have returned to us.
Send qualied applications so we can select the
recipient(s).
Have the OCC Scholarship Committee select recipient(s).
Have the following instructor / department select
recipient(s).
Instructor name: ______________________
Amount of Scholarship: $ __________________________
Enclosed is a check made out to the OCC Foundation.
We will mail a check to OCC at a later time.
We will send a check directly to the student.
Use the OCC payroll deduction plan.
Please provide a brief description of your scholarship for inclusion in the next Donor Booklet (Limit 150 words).
For further information, please contact the OCC Scholarship Oce, P.O. Box 5005, Costa Mesa, CA 92628-5005, (714) 432-5645
SELECTION PROCESS FUNDING
Scholarship Name _______________________________________________________________________________________________
_________________________________________________________
Donor’s Name Selection Criteria _____________________________________
Organization _________________________________________________
Address ____________________________________________________
City, State, ZIP ________________________________________________
Daytime Phone _______________________________________________
Email address/FAX _____________________________________________
EMAIL PRINT
