Scholarship Donation Form

This form will record your donation by credit card. If you are interested in donating by eCheck, please call Krista Roeling, Jesuit’s executive development coordinator, at (504) 483-3839.

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Your Gift

Learn about different Donor Levels. Total annual gift is calculated on donations received between July 1 and June 30.
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Your gift may be made as a single donation or in equal monthly installments. Installments include today’s gift.
If you are paying in installments, the surcharge for the entire gift will be collected now.

Donor Information

I am a(n):*
Donor Name*
Spouse Name

Gift Details

General Donation or Named Scholarship?*
Indicate if your gift is to be applied as a general scholarship donation or to a named scholarship.
In Memory or In Honor?
Is this gift in memory or in honor of someone?
Recognition
Jesuit recognizes the generosity of its benefactors in either Jaynotes or in the annual President’s Report. Check here if you prefer your contribution to remain anonymous.
Matching Gift?
Will your donation be matched by your or your spouse’s employer/company?

Payment Information

Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date
 
Billing Address*
Primary/Home Address*

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