Donor Commitment Form

The Achievement Foundation JASAN Scholarship

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.

Additionally, we hope you will continue to contribute to JASAN’s operating costs so we can continue to support JA’s mission through our various programs.

Question Title

* 1. Please Provide Your Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

Question Title

* 2. Commitment Level

$1,000 to Sponsor a JA USA Staff Scholarship to NLC

$500 to Sponsor a JA USA Staff 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 Grant

$ (an individual choice amount) to help Match The Achievement Foundation Grant (Please specify below)

(My individual choice amount)

Donor Commitment Form

The Achievement Foundation JASAN Scholarship

Question Title

* 1. Please Provide Your Contact Information

Question Title

* 2. Commitment Level

Question Title

* 3. Payment When would you like to be invoiced for your pledged donation?

* 3. Payment
When would you like to be invoiced for your pledged donation?