YES WE CAN JOHNSTON COUNTY COALITION, INC.
SCHOLARSHIP CONTRIBUTION FORM
FIRST NAME: ______________________________________ LAST NAME:____________________________________________
ADDRESS__________________________________________________________________________________________________
Street City/State Zip Code
TELEPHONE NO:________________________________________CELL:________________________________________________
E-MAIL ADDRESS: ___________________________________________________________________________________________
I AM MAKING A CONTRIBUTION TO THE YWCJCC SCHOLARSHIP FUND IN THE FOLLOWING AMOUNT: $_____________.
MY CONTRIBUTION IS BEING MADE: By Cash ______; OR By Check ______ Check No: ______
_____________________________________________________________ ________________________________________
Signature Date
SCHOLARSHIP CONTRIBUTION FORM
FIRST NAME: ______________________________________ LAST NAME:____________________________________________
ADDRESS__________________________________________________________________________________________________
Street City/State Zip Code
TELEPHONE NO:________________________________________CELL:________________________________________________
E-MAIL ADDRESS: ___________________________________________________________________________________________
I AM MAKING A CONTRIBUTION TO THE YWCJCC SCHOLARSHIP FUND IN THE FOLLOWING AMOUNT: $_____________.
MY CONTRIBUTION IS BEING MADE: By Cash ______; OR By Check ______ Check No: ______
_____________________________________________________________ ________________________________________
Signature Date
SCHOLARSHIP DONATIONS
To finance the award of $500 need-based scholarships to college bound high school seniors in Johnston County,
the YWCJCC is dependent upon contributions from members and friends of the Coalition. Contributions in any
amount, small or large, are accepted and appreciated.
In that the YWCJCC is a non-profit organization under the Internal Revenue Service Regulations, contributions are
tax deductible. Upon receipt of the contribution, the YWCJCC will issue a letter to the contributor listing the amount and
date of the contribution for the contributor's tax records.
All contributions made to the YWCJCC Scholarship Fund will only be used for the purpose of awarding
scholarships and not for any other purpose. The reporting and accounting of these funds will be kept separate and
apart from other non-specified contributions.
To finance the award of $500 need-based scholarships to college bound high school seniors in Johnston County,
the YWCJCC is dependent upon contributions from members and friends of the Coalition. Contributions in any
amount, small or large, are accepted and appreciated.
In that the YWCJCC is a non-profit organization under the Internal Revenue Service Regulations, contributions are
tax deductible. Upon receipt of the contribution, the YWCJCC will issue a letter to the contributor listing the amount and
date of the contribution for the contributor's tax records.
All contributions made to the YWCJCC Scholarship Fund will only be used for the purpose of awarding
scholarships and not for any other purpose. The reporting and accounting of these funds will be kept separate and
apart from other non-specified contributions.
SCHOLARSHIP CONTRIBUTION FORM This Page includes the Form to be used in submitting contributions earmarked specifically for the "YWCJCC Scholarship Program." |
| Yes We Can Johnston County Coalition, Inc. A Coalition of Concerned Citizens |
| What we do by ourselves matters; What we do together really makes the difference. |
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| Post Office Box 1016 Clayton, North Carolina 27528-1016 919-550-0614 Email: information@yeswecanjccoalition.com |
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ALL CONTRIBUTIONS ARE TAX DEDUCTIBLE. ALL CONTRIBUTIONS WILL BE ACKNOWLEDGED. Checks donated for the Scholarship Fund are to be made payable to: YWCJCC SCHOLARSHIP FUND Checks, along with the Scholarship Contribution Form, are to be mailed to: YWCJCC Scholarship Program Post Office Box 1016 Clayton, North Carolina 27528-1016 |