Donate Personal Check - Jefferson State Community College

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Contact Phone*

I want my donation to benefit:

Unrestricted General Campaign Fund
Workforce Education Center
CDL Training Program
HEO Training Program
IT Academy
Health Information Technology Degree Program
Student Success Hub
Student Assistance Fund
Scholarships

Provide brief designation details regarding your donation (if necessary).

I will be sending a check in the amount of $

Please make checks payable to the
“Jefferson State Community College Foundation, Inc."
Mail to:
Jefferson State Community College Foundation Inc.
P.O. Box 94956
Birmingham, AL 35220

I would like to give this amount:

One Time
Semi-Monthly
Monthly
Annually

Beginning Date*

Ending Date*

Personal Check Donation

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