JASAN Donation Pledge Form

JASAN Donation Pledge Form
We are delighted that The Achievement Foundation has agreed to a 3-year matching grant program to support the JASAN Scholarship to JA field professional staff to attend the JA National Leadership Conference.

For each of the next 3 years, The Achievement Foundation will provide up to $15,000 as a match to all donations to the NLC scholarship provided by JASAN members and friends. JASAN members can sponsor a full or a half scholarship, or designate a specific amount of your contribution to support this important program.

Additionally, we hope you will continue to contribute generously as you have to JASAN’s operating costs so we can continue to support JA’s mission through our various programs.
1. Please provide your contact information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
2. Matching Grant Commitment Level
What level of commitment do you plan to make

$1,000 to sponsor a full JA Staff Scholarship to NLC$500 to sponsor a half JA Scholarship to NLC$250 to help match the Achievement Foundation Grant$100 to help match the Achievement Foundation Grant$50 to help match the Achievement Foundation GrantA personal amount, as specified below,to help match the Achievement Foundation Grant
(My individual choice amount)
3. JASAN Operating Budget Commitment Level
What level of commitment do you plan to make to support JASAN's Operating Expenses?
4. Payment
When would you like to be invoiced for your pledged donation(s)?

MonthDayYear
Date
Should be Empty:

JASAN Donation Pledge Form

1. Please provide your contact information

2. Matching Grant Commitment Level

3. JASAN Operating Budget Commitment Level

4. Payment