Select donor type One donor, two donors, organization One donor Two donors Organization

Donor Name

Advance ID for:

Donor Name

Advance ID for:

Organization legal name

Organization short name

Advance ID for:

Organization representative's name

Organization representative's title

Is this an Outright Gift or a Pledge? Outright Gift Pledge with schedule Pledge one payment

Gift Amount:

Donor to make gift by:

Payment Schedule:

(a)		on or before
(b)		on or before
(c)		on or before
(d)		on or before
(e)		on or before

Is this gift to establish a new fund, or add to an existing fund? Establish new fund Add to an existing fund

Enter the name of the new fund

Select the fund where this gift will be added to: OSU Athletics Fund for Excellence OSU Football Fund for Excellence - Head Coach's Circle OSU Baseball Hitting Facility Completing Reser Stadium Football Leadership

What is the Minimum Gift Amount? For reference on minimum gift amounts, see:
Faculty Support Endowment Levels
Scholarship Endowment Levels

Is this a Gift Agreement or a Statement of Intent? Gift Agreement Statement of Intent

Is the donor making a gift through a Donor Advised Fund (DAF)? Yes No

What is the DAF Entity? Ex: Pam?

What is the DAF Fund Name?

Select the College/Unit/Area Athletics

Select the Campus Signer S. Scott Barnes, Vice President & Director of Athletics

Priority Points Priority Points Accepted Priority Points Declined

What is the donor's connection to OSU? If one male - "an OSU alumnus" If one female – "an OSU alumna" If a couple with one male alumnus – "an OSU alumnus and friend" If a couple with one female alumna – "an OSU alumna and friend" If a couple with two alumni – "OSU alumni" If an org – "an OSU supporter"

Select the appropriate 'Interest' description interest in OSU Athletics interest in supporting the football program wish to support one of the University’s highest priorities

Select the appropriate 'Designation' description in support of OSU Athletics at the discretion of the Athletic Director to support the Athletic Department during the uncertainty stemming from conference realignment for the OSU Baseball Hitting Facility to support the football program used according to the program guidelines on file to support the completion of Reser Stadium construction and renovation

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