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 qualied 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 Oce, 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
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