Scholarship Donors' Information form

1.	Scholarship Name:
	Designation Code:
	Date account was established

2.	Donor's name(s):
	Donor's ID#(s):

3.	Criteria for this scholarship:


4.	Your affiliation with Miami class year, major, activities, etc.):


5.	Your occupation, interest, alumni activities:


6.	Information about the person for whom the scholarship is named (if it is in honor of someone else):


7.	To whom should the scholasrship recipient send their acknowledgement?