1. Announcing the launch of the
High-Impact Campaigns
Yes, I want to help SIUE continue excellence with a gift of:
❑ $500 ❑ $250 ❑ $100 ❑ $50 ❑ Other $
❑ High-Impact Campaign Fund #___________________
❑ e fund (an unrestricted gift that benefits the greatest need on campus)
❑ School, College, Department or Program (for unrestricted or
restricted use by the academic unit for the greatest need, or programs such
as scholarships, student travel, equipment, etc.)
(please specify designation) AG15LL
Database ID #
Mr. John Sample
Ms. Jane Sample
123 Address
Anywhere, IL 12345
I wish to pay by:
❑ Check (payable to SIUE Foundation) ❑ Credit/Debit Card
❑ VISA ❑ Discover ❑ MasterCard ❑ American Express
Card number
Expiration date last 3 digits on the back of the card
Credit card billing address
Name as it appears on card (please print)
Signature
Check here if your company will match your gift. ❑
Please update your name and address on reverse side
Questions contact: Julie Babington, Director of Annual Giving
Box 1082, Edwardsville, IL 62026-1082
618.650.2378
You are encouraged to explore the High-Impact Campaign options
below, and GET INVOLVED TODAY by supporting one or more in
which you believe. Your contribution will have a high impact on our
students and take the “e” to the next level of excellence.
– Rachel Stack, Vice Chancellor for University Advancement and
CEO, SIUE Foundation Inc.
Have an impact on SIUE today!
Lovejoy Library - High School Writers’ Contest Endowment (#8017)
Impact: Enhancing and rewarding writing skills in high school juniors and seniors
College of Arts & Sciences - International Travel Awards (#3907)
Impact: Cross-cultural education for our students by studying internationally
School of Pharmacy - Pharmacy’s Best & Brightest Paver Drive and
Endowed Scholarship Fund (#8393)
Impact: Make a gift of $500, $250, or $100 and get your very own custom engraved paver
on the walk around the School of Pharmacy’s Medicinal Garden, and support endowed
scholarships for talented and deserving pharmacy students (someone will contact you about
your paver engraving)
School of Education, Health and Human Behavior – Student Research Travel (#4317)
Impact: Undergraduate and graduate students will have access to travel funding for the
purpose of presenting their research at regional, state and national professional conferences
School of Education, Health and Human Behavior - The SIUE East St. Louis Charter High School (#3036)
Impact: Science, Technology, Engineering and Mathematics (STEM) education for students in a high-need school district
Intercollegiate Athletics - Relocation of Tennis Courts and Creation of Indoor Tennis Center (#4333)
Impact: More competitive playing surfaces for tennis athletes
School of Nursing – Honoring the Past – Empowering the Future: SIUE School of Nursing Endowed Scholarship Campaign (#8163)
Impact: The recent 50th Anniversary of SIUE School of Nursing means the time is right to reach out and re-unite five decades of
alumni in supporting an endowed scholarship fund that will honor past successes and empower the future impact of the School of
Nursing and its graduates
The Gardens at SIUE - New Visitor Entrance (#3721)
Impact: To create a welcoming space from the new parking lot at The Gardens
Graduate School - The Science and Engineering Research Challenge (#4185)
Impact: Annually engaging 400 local students through a STEM Challenge
School of Dental Medicine - Dental Student Scholarship (#8146)
Impact: Removing barriers to dental education
School of Engineering - Student Design Center (#4309)
Impact: Expand offerings to SIUE’s competitive engineering students
by offering project and display space for their creations
School of Business - Business Transitions Curriculum (#3054)
Impact: These new required courses will assist business students
siue.edu/give

2. Planning your will and testament…
Including SIUE in your will is a wonderful way to remember your alma mater. The following statement provides basic
language you may consider using when completing your will:
“I hereby give and bequeath to Southern Illinois University Edwardsville Foundation (SIUEF), located in Edwardsville, IL
62026, [__________% of the residue of my estate] or [the sum of __________ dollars] for [the following described property:
(___________)] to be used for ___________________ (state particular school, college, department, program or other
purpose). However, if the (specific program) at SIUE ceases to exist, this bequest and any income and appreciation from it
may be used for the general purposes of SIUE.”
Please help us update your record.
Personal Information:
Preferred title (please circle one): Mr. Mrs. Miss Ms. Dr.
Full name
Name at time of graduation (if different)____________________________
Street
City_____________________ State ____Zip Code
Telephone
Personal email address
Date of birth
Marital Status___________Spouse’s Name
Is your spouse an SIUE grad? Year?________
Professional Information:
Employer
Title
Street
City ____ State Zip Code
Telephone Ext.
Business email address
Contact me about a gift of stock or property. ❑
Jeff Brown, Director of Planned Giving
Box 1082, Edwardsville, Illinois 62026-1082
618/650-3331 siue.edu/give
PrintedbyauthorityoftheStateofIllinois,10/14,15070089
siue.edu/give