Donation Form - Stony Brook Hillel

SUPPORT JEWISH LIFE AT STONY BROOK

Thank you for supporting Stony Brook Hillel. Every dollar you give helps create a welcoming home for students to explore their relationship with Judaism, Israel, and each other while at Stony Brook. Through innovative ideas, we are able to provide students feel a sense of community, the desire to explore, the freedom to be authentic and are empowered to lead.

Donation Amount: Your gift of: *

$1,080 - Helps over 50 students enjoy FREE Shabbat meals $540 - Sends 25 students Passover care packages $360 - Supports 2 students for the Israel Learning Fellowship $180 - Allows 1 student to participate in the Jewish Learning Fellowship $54 - Supplies 5 students with all they need to celebrate Havdalah $20.21 - Celebrates the Class of 2021! Other Amount

Other Donation Amount *

Donation Total?

How would like your name to be listed as a donor? *

I would like my gift *

to go where the need is greatest to be designated for specific programs

Hillel General Program Fund =         Hillel General Program Fund
Kesher Refuah Medical Mission =         Kesher Refuah Medical Mission
Student Leadership Initiatives =      Student Leadership Initiatives
Passover Seder for Students =      Passover Seder for Students
Center for Israel Education & Engagement =      Center for Israel Education & Engagement
Student Internships =      Student Internships
Shabbat and Holiday Programming =      Shabbat and Holiday Programming
Rabbi Joseph S. Topek Student Leadership Fund =      Rabbi Joseph S. Topek Student Leadership Fund

Designated Cost Breakdown

Your designated totals do not match your total gift amount.

Please go back and check your totals.

I would like this gift

to recur to be in honor of someone in memory of someone to celebrate someone

What frequency would you like this gift to recur?

Once a month Once every three months Once a year I would not like this gift to recur

I would like someone to check in on the status of my recurring gift by

Date

Please share who your gift is in honor of.

Please share who your gift is in memory of.

Please share what your gift is celebrating.

Would you like to notify someone of your gift?

Yes No

Name

First Name Last Name

How would you like us to notify them?

Via email Via mailing Via phone

Email

example@example.com

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Donor Information

Title *

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Email *

example@example.com

Primary Phone Number *

Home Work Mobile

Phone Number *

Please enter a valid phone number.

Do you identify as... (check all that apply) *

Stony Brook Alumnus/a Stony Brook Faculty/Staff Stony Brook Parent None of the above Stony Brook Grandparent or Family Member

Class Year and Major *

Department / Office *

Students Name and Class Year *

Relationship to Student, Students Name and Class Year *

Payment Information

Total Cost

Would you like to make your payment via credit card or check? *

Credit Card Check

Check can be made out to Stony Brook Hillel and mailed to us directly at:

Stony Brook Hillel
Student Union Suite L11
Stony Brook, NY 11794-3200

Total Amount to be Charged *

USD Description

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Please make sure to click SUBMIT. Thank you for your support of Jewish life at Stony Brook University.

Please verify that you are human *