2014-2015 Employee Giving Campaign
Name________________________________________Department__________________________
Datatel ID_______________ Phone #____________________________ Date________________
All funds of The Foundation for MCC are managed by the Foundation’s Board of Directors.
The Foundation is a 501C3 charitable organization completely separate from the college.
Its purpose is to support the mission of the college in perpetuity as an alternative funding source.
The Foundation for MCC operates on a calendar year and requires documentation from the donor to
renew pledges into the next calendar year – per IRS guidelines. Therefore, we are providing the ability
to still give for 2014, plus an area to pledge for the 2015 calendar year.
My Charitable Contribution for 2014:
Gift in □ memory of □ in honor of (Insert name / relationship):______________________________________________
Please provide address so we may notify of gift:___________________________________________________________
□ Please find attached my personal check made payable to “The Foundation for MCC” in the amount of $__________ to
be distributed to the funds as indicated below/on attached sheets.
Employee Signature:_______________________________________
My Charitable Contribution for 2015:
Date:________________________
Must be finished by Dec. 31, 2015!
Gift in □ memory of □ in honor of (Insert name / relationship):______________________________________________
Please provide address so we may notify of gift:___________________________________________________________
□ Please find attached my personal check made payable to “The Foundation for MCC” in the amount of $__________ to
be distributed to the funds as indicated below/on attached sheets.
□ Please deduct $____________ from □ 5 pays, □ 10 pays, □ 26 pays, or □ ___ pays in equal installments beginning
1/1/15 or immediately thereafter for a Total Pledge of $_____________ to be PAID IN FULL BY DECEMBER 31, 2015.
Employee Signature:_______________________________________
Date:________________________
Return completed form (with check if applicable) to:
The Foundation for Mott Community College ▪ 1401 E. Court St. ▪ Flint, MI 48503 ▪ 810.762.0425
Form also available online at: www.mcc.edu/10_alumni/af_online_donate.shtml
Your gifts to Foundation Scholarships & Funds are greatly appreciated and strengthen the college and community! If you
pledged a gift, THANK YOU again for your commitment. Please note that if your pledge is outstanding upon completion of
employment, the Foundation will invoice you the remaining balance unless other payment arrangements are made.
Please Distribute my Gift as Follows:
$______ GENERAL SUPPORT / ANNUAL GIVING (MCCF)
Helps College-Wide!
$______ ENDOWMENT GROWTH INITIATIVE (ENGI)
Will sustain MCC’s future using endowment earnings!
$______ PLANNED GIFT/LIFE INSURANCE/WILL/TRUST (Please have your insurance
agent/financial advisor or lawyer notify The Foundation of your intentions)
Will sustain MCC’s future through planned, deferred giving!
Please CONSIDER
our most essential
sustaining funds!
They enable the
FMCC to financially
assist ALL of MCC–
any division, any
program, any
student!
The following is a list of all scholarships & funds within the Foundation for MCC.
Permanently Restricted Endowments
$______ Adam Ryan McIntosh AKA OPIE Automotive Technology Scholarship Endowment
$______ Akhila & Rajamani Scholarship Endowment
$______ Alice Irene Bell Scholarship Endowment
$______ Anna Paulina Koegel Endowment
$______ Arab American Heritage Council Scholarship Endowment
$______ Arlene Martin Kocsis Cosmetology Scholarship Endowment
$______ Ben & Edna Diehl Scholarship Endowment
$______ Big John Steak & Onion Scholarship Endowment
$______ Cathy Cady Memorial Scholarship Endowment
$______ Celia M. Turner Endowment
$______ Community Strengthening of Burton Scholarship Endowment
$______ Doc Ross Memorial Music Fund Scholarship Endowment
$______ Donald E. Ewles Criminal Justice Scholarship Endowment
$______ Donna K. McAllister Scholarship Endowment
$______ Dr. Charles N. Pappas Scholarship Endowment
$______ Dr. Donald E. Stanbury Scholarship Endowment
$______ Dr. Ellen Howe Scholarship Endowment
$______ Dr. Joyce Toet Scholarship Endowment
$______ Dr. Martin Luther King, Jr. Scholarship Endowment
$______ Dr. Rajagopal and Chandrika Shantaram Endowment
$______ Dr. William & Bernice Blamer Scholarship Endowment
$______ Drs. Avery & Mildred Aldridge Scholarship Endowment
$______ Drs. Vivian & Billie Lewis Scholarship Endowment
$______ Flint Area School Employees Credit Union Scholarship Endowment
$______ Flint Banjo Club Scholarship Endowment
$______ Frank DeLorenzo Scholarship Endowment
$______ Friends of Mott Library Endowment
$______ Gail Ann Bennett Rachor, Ed.D., Scholarship Endowment
$______ Genesys Scholarship Fund Endowment
$______ Harry and Kathryn Yeotis Scholarship Endowment
$______ HealthPlus of Michigan/Dr. Gary Roat Scholarship Endowment
$______ Helene Streich Endowment
$______ International Institute Endowment
$______ Jennifer A. O’Neil Graphic Design Scholarship Endowment
$______ John K. Krupp, CPA Scholarship Endowment
$______ John W. and Marion E. Esson Scholarship Endowment
$______ Juanita Carr Library Grant Endowment
$______ Judge Thomas C. Yeotis Basketball Scholarship Endowment
$______ Kathleen Drummond Scholarship Endowment
$______ Kay M. Hope Scholarship Endowment
$______ Lapeer Learner Scholarship Endowment
$______ Leo W. & Genevieve Dorr Scholarship Endowment
$______ Lifelong Learning for Seniors Endowment
$______ Margaret E. English Memorial Scholarship Endowment
$______ Marian Dew Snipes Scholarship Endowment
$______ MCC Retirees Scholarship Endowment
$______ McFarlan Home Endowment
$______ Medical/Science Scholarship Endowment
$______ Nartel Family Foundation Scholarship Endowment
$______ Olivia P. Maynard & S. Olof Karlstrom Endowment
$______ Pappas Endowment – C.S. Mott Foundation
$______ Raymond W. Glowski & Suzanne M. Packard Music Scholarship Endowment
$______ Rev. A.C. & Dorothy M. Lee Scholarship Endowment
$______ Ridgway H. & Shannon E. White Scholarship Endowment
$______ Ruth Kaplan Braun Scholarship Endowment
$______ Sales & Marketing Executives of Greater Flint Scholarship Endowment
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$______ Sara Coley Memorial Scholarship Endowment
$______ Skinner-McEvoy Scholarship Endowment
$______ Veronica & Willie Artis Scholarship Endowment
$______ Walworth Student Scholarship Endowment
$______ Wanda L. & M. Harry Piper Grant Fund Endowment
$______ Wanda L. & M. Harry Piper Women’s Fund Endowment
$______ William Ross Daniels Scholarship Endowment
$______ Women In Education Endowment
$______ Yvonne Marie Rau Memorial Scholarship Endowment
Board Designated Endowments
$______ Alumni Student Assistance Scholarship Endowment
$______ Barbara Stephenson Scholarship Endowment
$______ Bommarito Family Award Endowment
$______ Building Trades Council Scholarship Endowment
$______ C.S. Harding Foundation Endowment
$______ Charles M. & Marilynn Donnelly Memorial Scholarship Endowment
$______ Chet Wilson Environmental Scholarship Endowment
$______ Dennis J. Saturnino MCC/Kettering Scholarship Endowment
$______ Doris Mumby Endowment
$______ Edward Thorne Scholarship Endowment
$______ Endowment Growth Initiative
$______ Institutional Scholarship Fund
$______ Nursing Fund
$______ Science & Math Initiative
$______ Fred Lamb Scholarship Endowment
$______ General Scholarship Endowment
$______ Grayce Scholt Scholarship Endowment
$______ Janice Dulin Memorial Conference Endowment
$______ Jim Lee Fine Arts Camp Endowment
$______ Lenore Croudy Endowment
$______ Lillian Walters Endowment
$______ Lloyd Rodnick Scholarship Endowment
$______ Mathulakshmi Iyer Scholarship Endowment
$______ Pemberton Endowment
$______ President’s Endowment
$______ Ruby Hudson Scholarship Endowment
$______ Ruth Rawlings Mott Endowment
$______ Science and Technology Endowment
$______ Sherm Mitchell Music Scholarship Endowment
$______ Dr. Wise B. Joseph Excellence Award: Anthropology/Sociology Fund Endowment
Scholarships
$______ ADN Alumni Scholarship
$______ ATIGroup Scholarship
$______ Barbara & David Young Scholarship
$______ Begole Brownell Fund
$______ Delco-CAD/Design Student Learners Scholarship
$______ Developmental Math Initiative
$______ Dr. Archie Attarian Scholarship
$______ Eddie Chandler Scholarship
$______ Edgar B. Holt Scholarship
$______ Flint Downtown Host Lions Club Scholarship
$______ Flint Rotary Club Scholarship
$______ FMCC Regional Technology Center
$______ Frank Friedman Special Education Scholarship
$______ FMCC General Scholarship Fund
$______ Honors Alumni Scholarship
$______ Kelly Martin North Branch Scholarship
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$______ Kim Fonger Memorial Scholarship
$______ Lapeer Co. Community Foundation Women’s Fund
$______ Livingston M-TEC Scholarship
$______ MCC/UM-Flint Initiative
$______ Patricia Alexander Scholarship
$______ Philip J. Braun Fund
$______ Physical Therapist Assistance Reciprocation Scholarship
$______ Phi Theta Kappa (PTK) Alumni Scholarship
$______ Rainbow Corvette Club Scholarship
$______ Steel Band Scholarships
$______ Wendell T. Williams Scholarship
OTHER FUNDS
Other Funds
$______ Alumni Student Assistance Operating Fund
$______ Autobody/Restoration Student Assistance Fund
$______ Ballenger Eminent Persons Lecture Series
$______ Benjamin M. Connelly Autism and Special Needs Student Fund
$______ Cultural Celebrations Fund
$______ Faculty and Staff Innovation Awards
$______ Flint Community Scholars Program Fund
$______ FMCC Entrepreneurship Fund
$______ GRiT Green Initiatives Team Fund
$______ Hispanic Awards Ceremony Fund
$______ Institutional Fund
$______ Lifelong Learning for Seniors Fund
$______ MCC Gardening Association Fund
$______ MCCEA Book Loan Fund
$______ Mott Middle College High School & Steelheads Support Fund
$______ Park Bench – Peace & Dignity
$______ Presidential Fund for Student Success (in honor of Dr. Dick Shaink)
$______ Summer Kids Camp
$______ Women In Education Fellowship Fund
$______ Women In Education Initiative/Operating Fund
SPECIAL OPPORTUNITIES
The purchase of the following items provides dollars to the Foundation’s General Fund, which is used
to help where the need is greatest - programming, student needs, building needs, etc.
See www.foundation.mcc.edu for more information on this opportunity.
$______ Bruin Bear Statue (gold or bronze sculpture) – a miniature replica of the
MCC Bruin Bear Statue!) At just $1,000, designed by MCC art students under
the watchful eye of instructor Cathy Smith, it is a wonderful, sophisticated
piece for your home. A portion of this piece is tax deductible.
$______ Bear Paw Print. At just $260, this paw can become a legacy to you or a loved one.
Inscription offers 3 lines at 12 characters per line. The paw will be imbedded on
campus near either the Bruin Bear Statue by the Field House or by the Bear Bistro
and is totally tax deductible.
Payments for the Statue and/or Paw Print may be made in cash, credit card, or via
payroll deductions of up to 26 pays.
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DIVISIONAL FUNDS
Athletics
$______ Athletic Division Fund
$______ Don Jarrard Golf Scholarship
Business Division
$______ Business Division Fund
$______ Cooperative Education Fund
$______ Cosmetology Scholarship
$______ Culinary Arts Scholarship
$______ Ellen’s Clothes Closet
$______ Floyd McAfee/Rueterbusch/Mason Scholarship
$______ MCC Culinary Arts Fund
$______ McKay Model Office
$______ Michigan Bell/Ameritech Scholarship
$______ Schrieber Memorial Scholarship
Fine Arts
$______ Andrea Zlatec Floden Music Scholarship
$______ Art Enrichment Fund
$______ Art Fund for Faculty
$______ Douglas Larmor Scholarship
$______ Fine Arts Division Fund
$______ Garrett B. Ebmeyer Scholarship
$______ John R. Davis Music Scholarship
$______ John R. Nelson Scholarship
$______ Judge Thomas Yeotis Fund for Jazz Musicians
$______ Keith E. Fulmer Memorial Art & Design Scholarship
$______ MacArthur Music Scholarship
$______ Music Events
$______ Photography Innovation Fund
$______ Scott Norris Scholarship
$______ Theatre Enrichment Fund
$______ Underhill Music Scholarship
Health Science
$______ Dental Assistant/Hygiene Administrative Fund
$______ Dental Program
$______ Health Sciences Division Fund
$______ Nursing Program
Humanities
$______ Film Enrichment Fund
$______ Humanities Division Fund
$______ Writing Awards Fund
Library Services
$______ Friends of Mott Library Operating Fund
$______ Library Division Fund
Math and Science
$______ Anatomy Fund
$______ Biology Fund
$______ Chemistry Fund
$______ Donnelly’s Courtyard
$______ Ed Schleg Science Scholarship
$______ Geology Fund
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$______ Kathryn P. Caraway Scholarship Award
$______ Science & Math Student Award
$______ Science Fund
Public Safety
$______ Public Safety Division Fund
Social Science
$______ Carroll Clark Award
$______ Ginger Edwards Social Work Award
$______ IDS Traveling History Project
$______ Joe Perisa Award
$______ Marvin Persky
$______ Meredith Mead
$______ Political Science
$______ Psychology Award
$______ Social Science Division Fund
$______ Social Science Humanitarian Award
Technology
$______ Apprenticeship Award
$______ Information Technology Division Fund
$______ Technology Division Fund
~ Outside Community Agency Funds ~
Contributions to outside community agencies do not benefit Mott Community College funds. As a courtesy,
The Foundation accepts, records and forwards gifts to the agencies on this page, for a small fee (excluding the
United Way, United Negro College Fund and the Community Health Fund).
UNITED WAY OF GENESEE COUNTY
$______ United Way of Genesee County
$______ American Red Cross
$______ Arab American Heritage Council
$______ Bendle Public Schools – Bendle Family Health Services
$______ Bendle Public Schools – Project Hope
$______ Big Brothers & Big Sisters of Greater Flint
$______ Boy Scouts of America (Water & Woods Field Service Council)
$______ Boys & Girls Club of Greater Flint – After School Academic Success
$______ Boys & Girls Club of Greater Flint – Math Lab
$______ Catholic Charities of Shiawassee and Genesee Counties – Kinship Caregivers
$______ Catholic Charities of Shiawassee and Genesee Counties – North End Soup Kitchen
$______ Catholic Charities of Shiawassee and Genesee Counties – Family Service Program - Counseling
$______ Communication Access Center for the Deaf and Hard of Hearing
$______ Connexion
$______ Family Service Agency of Mid Michigan – In-Home Elder Care
$______ Family Service Agency of Mid Michigan – Visually Impaired Center
$______ Family Service Agency of Mid Michigan – Family Counseling
$______ Family Service Agency of Mid Michigan – Representative Payee
$______ First Presbyterian Church – Bridge to Healthy Access
$______ Genesee County Circuit Court – Attendance Court
$______ Genesee County Youth Corporation – REACH & Traverse Place
$______ Genesee Intermediate School District – CHILL (Civility Helps Individuals Live)
$______ Genesee Intermediate School District – SKIP to a Great Start
$______ Girl Scouts of Southeastern Michigan – Girl Scout Leadership Experience
$______ Girl Scouts of Southeastern Michigan – Be a Friend First
$______ Jewish Community Services
$______ Legal Services of Eastern Michigan – Family Stabilization Program
$______ Legal Services of Eastern Michigan – GAIN$ Individual Development Account
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$______ Metro Community Development –
Homeless Management Information System
$______ Metro Community Development – Genesee
County Community Collaborative
$______ My Brother’s Keeper
$______ Priority Children – School Readiness Action
Plan
$______ Priority Children - Assessment of Children’s
Mental Health
$______ Resource Genesee – One Stop Housing
$______ Resource Genesee – 2-1-1
$______ Salvation Army
$______ Shelter of Flint, Inc.
$______ Valley Area Agency on Aging
$______ Vocational Independence Program
$______ Weiss Advocacy Center
$______ YWCA – Safe House
$______ YWCA – Nina’s Place
$______ United Way of Lapeer County
$______ Michigan Hospice & Palliative Care Org
$______ Michigan Parkinson Foundation
$______ Muscular Dystrophy Association, Inc.
$______ National Multiple Sclerosis Society, Michigan
Chapter, Inc.
$______ National Psoriasis Foundation
$______ Pancreatic Cancer Action Network-PANCAN
$______ Planned Parenthood Affiliates of Michigan
$______ Sickle Cell Disease Association of America,
Michigan Chapter
$______ St. Jude Children’s Research Hospital
$______ Susan G. Komen Race for the Cure, MidMichigan Affiliate
$______ Tomorrow’s Child (formerly Sudden Infant
Death Syndrome Alliance)
$______ BRUIN CLUB
$______ CHILDREN’S WISH FUND
$______ FLINT AREA SCIENCE FAIR
COMMUNITY HEALTH CHARITIES OF MICHIGAN
$______ Alzheimer’s Association, Greater Michigan
Chapter (Southfield)
$______ American Cancer Society
$______ American Diabetes Association (Michigan)
$______ American Heart Association, Midwest
Affiliate, Inc.
$______ American Lung Association of Michigan
$______ Amyotrophic Lateral Sclerosis (ALS) of
Michigan, Inc.
$______ Autism Alliance of Michigan
$______ Autism Speaks
$______ Be The Match
$______ Care of Southeastern Michigan
$______ Caring Bridge
$______ Cerebral Palsy International Research
Foundation, Inc.
$______ Children’s Hospital of Michigan Foundation
$______ Crohn’s & Colitis Foundation of America,
Michigan Chapter
$______ Cystic Fibrosis Foundation
$______ Easter Seals - Michigan, Inc.
$______ Epilepsy Foundation of Michigan
$______ HIV/AIDS Resource Center
$______ Huntington’s Disease Society of America,
Michigan Chapter
$______ Juvenile Diabetes Research Foundation –
Metro Detroit – SE Michigan Chapter
$______ Karmanos Cancer Institute, Barbara Ann
$______ Leukemia & Lymphoma Society, The
Michigan Chapter
$______ Lupus Alliance of America, Inc.,
Michigan/Indiana Affiliate
$______ Macomb-Oakland Regional Center, Inc.
$______ March of Dimes Foundation, Michigan
Chapter
$______ Michigan AIDS Coalition
$______ FLINT INSTITUTE OF ARTS
$______ FLINT INSTITUTE OF MUSIC
$______ FOOD BANK OF EASTERN MICHIGAN
$______ HAITI FUND
$______ HUMANE SOCIETY OF GENESEE CO.
$______ SALEM HOUSING TASK FORCE
$______ UNITED NEGRO COLLEGE FUND
Updated 9/2/14
THANK
YOU!!!
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