Advancement Services - North Carolina State University

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EXAMPLE
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Facility (Copy of Facility Naming Agreement & Letter of Intent must be attached)
Program (Copy of Letter of Intent must be attached)
NORTH CAROLINA STATE UNIVERSITY
REQUEST FOR APPROVAL OF DONOR NAMING PROPOSAL
PROPOSED NAME:
John Doe Engineering Building II
DESCRIPTION OF THE FACILITY OR PROGRAM TO BE NAMED:
Located on Centennial Campus, this building is one of 3 new Engineering buildings built
using funds from the 2000 Bond Education Program. It houses the Computer Science and
Electrical & Computer Engineering Departments. Built in 2005. Sq. Footage 202,376
DATE OF GIFT (RECORDED): June 1, 2009
BENEFACTOR CONTRIBUTION AMOUNT:
$5,000,000
GIFT TYPE:
A 5-year pledge to establish an endowment for unrestricted support – the pledge is to be paid
in 5 equal installments using outright cash and securities. Please see attached signed Facilities
Agreement.
PURPOSE:
John Doe has established an endowment in the North Carolina State University Engineering
Foundation for unrestricted support of the College of Engineering Departments of Computer
Science and Electrical & Computer Engineering.
RATIONALE FOR NAMING PROPOSAL/DONOR RELATIONSHIP WITH NC STATE UNIVERSITY:
John Doe is a 1959 graduate of NC State University with a BS in Computer Engineering. He
currently serves on the Board of Visitors and has served on the NC State University
Engineering Foundation, and NC State Univ. Student Aid Association Foundation.
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Name and Title of Nominator (please print)
_________________________________________
Signature of Nominator (no electronic signatures)
_________________________________________
Signature of Supervising Dean or Executive Officer
________________
Date
________________
Date
I certify that this naming proposal and any accompanying agreement(s) comply with NC State University and
UNC Board of Governors’ policies.
___________________________________________
Vice Chancellor for University Advancement
________________________
Date
Completed forms and any additional materials should be provided to the Vice Chancellor for University Advancement,
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EXAMPLE
Box 7004. The naming proposal will be submitted to the Special Committee on Donor Namings for discussion before a
recommendation is made to the Chancellor. Following approval by the Chancellor, the naming proposal is submitted to the
NC State Board of Trustees' Development Committee and the full Board of Trustees for final approval.
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APPROVED
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NOT APPROVED
_________________________________________
___________________________
Associate Vice Chancellor for University Development
Chair of Special Committee on Donor Namings
Date of Review by Committee
If not recommended for approval, please attach rationale for Committee decision.
Revised 7/15/09
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