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Peña Endowment Donation Form

To contribute to the Amado Peña, Sr. CCLP Scholarship Endowment and the Amado Peña, Jr. NISOD Excellence Awards Celebration Endowment, please complete the information below.


First Name		Last Name
Address
City	State Zip
Email
Phone

Contribution Levels Platinum Series Contributor ($200) Sterling Series Contributor ($50) "Herencia" print only ($30) "Homenaje a Tradición" print only ($30) Additional Donation Amount for the Amado Peña, Sr. CCLP Scholarship Endowment $ Additional Donation Amount for the Amado Peña, Jr. NISOD Excellence Awards Celebration Endowment $

Payment Options Credit Card (This form is not secure. We will call you to get your credit card information.) Check Make check payable to The University of Texas at Austin/NISOD and write "Amado Peña Sr. CCLP Scholarship Endowment" or "Amado Peña, Jr. NISOD Excellence Awards Celebration Endowment" in the memo section. Mail check to: Christy Lewis UT Austin 1 University Station, D5600 Austin, TX 78712-0378

National Institute for Staff & Organizational Development (NISOD)
Community College Leadership Program | College of Education | The University of Texas at Austin
1 University Station, D5600 | Austin, TX 78712-0378
Ph: (512) 471-7545 | Fax: (512) 471-9426 | Email