HERS Donation Form
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Please complete this form so we may properly apply and record your donation. You will receive a receipt from HERS via email. Please contact HERS at 303-871-3974 with any questions.
Name and Contact Information
First Name
Last Name
Work email
Personal Email
Cell Phone
Home Address
Street Address 1
Street Address 2
City
State/Province
Zip Code/Postal Code
Country
Donation Information
Your secure gift supports the mission of HERS and will help us achieve our bold vision of advancing gender equity and equipping leaders with the tools and knowledge necessary to transform higher education. We are grateful for your support.
Donation Amount
Please select...
25
50
100
250
500
1000
Other
Please type the amount of your donation (do not use $ commas):
$
My company will match my donation.
Yes
No or I don't know
Name of Company
Please select the HERS fund to which you want your gift applied:
Please select...
Donation to HERS Operating Fund
Donation to HERS Scholarship Fund to Support the Participation of Individuals from Underrepresented Institutions (HBCUs, HSIs, Tribal Colleges/Universities & Community Colleges)
Please select the HERS Leadership Institute (HLI) advancement campaign or HLI cohort on whose behalf you are contributing. If this does not apply to your donation, select "n/a":
Please select...
Weekend HLI Boston area
Summer HLI Philadelphia area
Summer HLI Denver area
Online HLI
N/A
Please enter the year of the HLI (for the Weekend HLI Boston area, please enter the year in which the HLI ended/will end):
Year (XXXX; e.g. 2004):
Is your gift in tribute to someone or in memory of someone?
Please select...
Yes, my gift is in tribute to or in memory of someone
No, my gift is not in tribute to or in memory of someone
Tribute Type
Please select...
In honor of
In memory of
In honor of/in memory of (please include first and last name):
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Contact Information