Senior Class Gift Contribution Form

Senior Class Gift Contribution Form

Make your pledge to the Senior Class Gift campaign!
Please enter your information below to confirm your pledge to the Senior Class Gift campaign. If you do not wish to make a pledge at this time, please do not complete this form. Whatever is pledged from your $100 General Deposit on this form will transfer to the appropriate area only after all charges to your student account have been reconciled upon your graduation. Any part of your General Deposit not pledged through the Senior Class Gift campaign or used to reconcile student account charges will be returned to you after your graduation.

First Name
Required
Last Name
Required
Student ID (9 digit number)
Required
PSU E-mail Address
Required
Non-PSU Email Address
Expected Graduation Date (MM/YYYY)
Required

Amount of Gift

You can give all or a portion of your General Deposit. If you would like to make a cash or credit card gift, please contact Geoff Hallett at gdh15@psu.edu. If you would like to give to multiple areas, please indicate the total amount of your gift below.
Select only one.



Required


Area of Support


You can support any area of Penn State through the Senior Class Gift campaign. If multiple areas are selected, your gift will be split evenly unless otherwise indicated in the comments section.
Select all that apply.



Required

How did you find out about this site?:
Why did you give?
Comments (Please note that gifts to THON/Four Diamonds Fund cannot be credited to a student organization or independent dancer couple):