Governors State University Foundation Donation Form

Donor Name:  

Name on Credit Card if different:

Home Address:

City State ZIP Code:

Phone:  

Phone Type:  

 Email:

Company Name:

Title:

Company Address:

My Employer may match this gift:  

 I wish to contribute to the Governors State University Foundation as designated below:

$GSU Promise Scholarship

$President’s Excellence Fund where most needed

$General Scholarship Fund           

$Freshman Scholarships

$Alumni Association Scholarship

$Nathan Manilow Sculpture Park

$GSU Concert Chorale

$University Library

$Center for Performing Arts 

$College of  

$Other

$ Tribute Gift in Memory or Honor of:  

Please send Tribute Donation acknowledgement to:

 Name: Address:

Total donation  $

Please make my gift Anonymous

I am a:

 Any questions please call (708) 235-7559. Thank you.

Please Note that you must click Submit instead of using the enter key.