MSP LEGACY
ALUMNI CAMPAIGN
GIFT & PLEDGE FORM
I would like my gift to support (check one):
Minority Student Program Alumni Endowment Fund
Other
#065992
See page 2 for other gift options to support the MSP
GIFT & PLEDGE INFORMATION
I would like to make a
$5,000
$1,000
PAYMENT INFORMATION
GIFT of:
Please charge my credit card account:
$500
$250
$100
American Express
Other $
Name (on credit card)
I would like to make a PLEDGE of:
$5,000
$1,000
$500
$250
Card #
$100
Visa
MasterCard
Expiration date
Other $
Security Code (3 or 4 digit # on back of Visa/MC, 4 digit # on front of Amex)
one-time (once)
Daytime phone
monthly (12 per year)
annually (1 per year)
quarterly (4 per year)
month/year to start
month/year to end (5 year maximum)
Enclosed is my check payable to:
RUTGERS UNIVERSITY FOUNDATION
Please state fund name on the memo line of your check.
MATCHING GIFT REMINDER
TRIBUTE GIFT
In honor of
Yes, my employer will match my gift. Please state employer name below.
In memory of Name
Name(s) and addresses(s) for notification:
______________________________________________
____________________________________________________________________
CONTACT INFORMATION
Please indicate the billing address associated with your credit card.
Name
Business
Home Address 1
Title
Home Address 2
Business Address 1
City, State ZIP
Business Address 2
Home Telephone
City, State ZIP
Mobile Telephone
Business Telephone
Preferred E-mail
Business E-mail
Home
Business
Yes, please send me news about Rutgers!
A portion of all gifts will be used to fund further advancement efforts on behalf of Rutgers. The Rutgers University Foundation is a 501(c)(3) tax-exempt organization.
Gifts made through Rutgers University Foundation are deductible for federal income, gift, and estate tax purposes.
PLEASE MAIL, E-MAIL OR FAX TO:
DEVELOPMENT OFFICE
RUTGERS SCHOOL OF LAW-NEWARK
Center for Law an d Justice
t e l e ph o n e 9 7 3 . 3 5 3 . 5 0 9 4
1 2 3 W a sh i n g t o n S t r e et , R o o m 1 9 1
N ew a r k , N J 0 7 1 0 2
fax 973.353.5267
e - m a i l d e v @ k i n o y . r u t g er s. ed u
w w w . l a w . n e w a r k . r u t g e r s . e d u
MSP LEGACY
ALUMNI CAMPAIGN
GIFT & PLEDGE FORM
Page 2
OTHER GIFT OPTIONS
FOR THE BENEFIT OF MSP
STUDENTS AND PROGRAMS
NAME
DESCRIPTION
Minority Student Scholarship
#037199
Minority Student Program
Summer Internship Fund #039571
Minority Student Program
Operating Fund #039579
Association of Black Law
Students: Wanda Green
Endowed Scholarship
#066161
Association of Latin American
Law Students Scholarship
#037744
Judge Murry D. Brochin
Endowed Fund for
Disadvantaged Students
Judge John J. Dios
Endowed Scholarship
#061304
Awarded to full-time students based on academic merit and financial
need.
Hands-on experience for first-year students in law firms, government
agencies and public interest organizations.
General support for summer orientation program, conference and
competition fees, speakers, supplies and other operating needs.
Established by the Association of Black Law Students in memory of
Wanda Green, attendant on 9/11/01 Flight 93, and friend of Donita
Judge, class of 2003. Based on financial need with a preference to
students who have overcome extraordinary circumstances.
Established by the Association of Latin American Law Students in
2010. Awarded to full-time or part-time Hispanic law students based
on financial need and demonstrated community service.
In honor of Murry D. Brochin, retired judge of the Appellate Division,
and a former adjunct professor of civil practice and appellate
advocacy to provide academic support.
In memory of Judge John J. Dios, class of 1949; first judge of
Hispanic origin appointed in 1974 to the Newark Municipal Court;
Essex County District Court and NJ Supreme Court judge. Based on
academic potential and financial need.
In memory of Justice Morris Pashman, class of 1935; NJ Supreme
Court justice; passionate advocate of individual rights, human
dignity and value. The only full MSP scholarship to date based on
academic excellence and financial need.
In memory of Marie Slocum, beloved wife of Prof. Alfred A. Slocum.
Awarded to a first-year student based on academic achievement,
financial need and public interest/community activism.
In memory of Judge Herbert H. Tate, Sr., class of 1935; civil rights
champion; NJ Assemblyman; Superior Court judge. Based on
outstanding achievement and financial need.
Awarded to students from Union County based on academic merit or
financial need.
#065635
Justice Morris Pashman
Endowed Scholarship
#065840
Marie Slocum
Endowed Scholarship
#065629
Judge Herbert H. Tate, Sr.
Endowed Scholarship
#065587
Union Foundation
Endowed Scholarship
#065745
If you would like to make a gift to a fund not listed above, please indicate the fund name or purpose below:
PLEASE MAIL, E-MAIL OR FAX TO:
DEVELOPMENT OFFICE
RUTGERS SCHOOL OF LAW-NEWARK
Center for Law an d Justice
t e l e ph o n e 9 7 3 . 3 5 3 . 5 0 9 4
1 2 3 W a sh i n g t o n S t r e et , R o o m 1 9 1
N ew a r k , N J 0 7 1 0 2
fax 973.353.5267
e - m a i l d e v @ k i n o y . r u t g er s. ed u
w w w . l a w . n e w a r k . r u t g e r s . e d u