This form is required for a gift or grant to the college. This form is not required for a gift or grant to the Anoka-Ramsey Community College Foundation.
Name of Recipient: Anoka-Ramsey Community College
| Donor Information: | |
| Name of Donor | ________________________________________ |
| Address of Donor | ________________________________________ |
| ________________________________________ | |
| City, ST, Zip | ________________________________________ |
| Project Restrictions: | ________________________________________ |
| Donor’s Estimated Value: | ________________________________________ |
Please answer each of the following questions:
- Description of gift, grant, conditions, and purpose thereof: (Attach additional sheets if necessary.)
- Are there any matching requirements? If yes, how will they be addressed?
- What additional or ongoing expenses will be required if this gift is accepted? How will they be addressed?
I, ______________________, president of Anoka-Ramsey Community College, do hereby determine that it is in the best interest of the college to accept such gift or grant and hereby approve and direct such acceptance.
| ______________________________________ | _______________ |
| President’s Signature | Date |
| Date Gift or Grant Received: _________________________________________ | |
Mail completed form to:
Laura M. King, Vice Chancellor
Chief Financial Officer
Minnesota State
500 World Trade Center
30 East Seventh Street
St. Paul, MN 55101
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History:
07.2017 Technical changes, MnSCU to Minnesota State
