Health Careers Scholarships of Sonoma County

opening doors to medical education

THANK YOU FOR SUPPORTING MEDICAL EDUCATION IN SONOMA COUNTY

Health Careers Scholarships will honor its graduates and donors in a Press Democrat "Celebrate Community" ad on Sunday, June 30 to thank them for their generous support of medical education in Sonoma County. For questions, please contact Lisa Sugarman at lcsugarman@gmail.com

DONATE BY CHECK to save online processing fees: Please make check payable to "Health Careers Scholarships" and mail to P.O. Box 9656, Santa Rosa, CA 95405

(Mail In Donation Form)

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Donation

* Mandatory fields

*First name

*Last name

Organization

*Email

Phone

Alternate email

Home phone

Cell phone

Street address

City

State

ZIP	Only whole numbers are accepted.

*Donation Level ($USD)

Other donation amount

Dean's List $5,000.00 (USD)

Patron $2,500.00 (USD)

Mentor $1,000.00 (USD)

Scholar $500.00 (USD)

Academic $250.00 (USD)

*Donor name(s) as you would like it to appear

Please make my donation "In Honor of/In Memory of"

Enter honoree's name(s) as you would like it to appear

Corporate Sponsors: Please enter business name as you would like it to appear

Anonymous gift

Clear selection

Yes

DONATE BY CHECK to save online processing fee: Please make check payable to "Health Careers Scholarships" and mail to P.O. Box 9656, Santa Rosa, CA 95405

Questions? Please contact Health Careers Scholarships of Sonoma County Chair, Lisa Sugarman, at lcsugarman@gmail.com

Health Careers Scholarships of Sonoma County is a 501(c)3 non-profit organization, tax ID# 34-7046665

P.O. Box 9656

Santa Rosa, CA 95405