Colorado HOSA Scholarship Donation Form
Chapter Name ___________________________________________________________
School _________________________________________________________________
Address ________________________________________________________________
_________________________________________________________________
Advisor Name ___________________________________________________________
Advisor E-mail ___________________________________________________________
Check the scholarship the donation will go towards and list the amount:
_____ Colorado HOSA Scholarship
Amount: $__________________
Make checks payable to Colorado HOSA. Donation and form must be received by
January 30th for State Leadership Conference recognition. Mail to:
Colorado HOSA
c/o The Business Manager
8101 E Prentice Avenue, Suite 100
Greenwood Village, CO 80111
Colorado HOSA thanks you for your monetary donation.