Home > Our Projects > Attendance Bank Coordination > How to Organize and Administer > ABC Donation Form

ABC Donation Form

A. We will donate the gift below to a junior high* student who has perfect attendance for the _______ school year. The gift will be awarded as a monthly incentive or at the Attendance Bank Ceremony in June.

DONATION(S):________________________________________________________________

(PLEASECHECK) for: LCJH_______LCMS________GVJH_______SBJH______CMS_________
* La Colina Junior High, La Cumbre Middle School, Goleta Valley Junior High, Santa Barbara Junior High, Carpinteria Middle School

Approximate total dollar value:_______________

B. We do not have a service/product but we will donate money to support the Attendance Bank Coordination. Make your tax-deductible donation to: La Belle Foundation
(Federal Income Tax exempt number: 95-3641171)

Dollar amount:_______________

(PLEASE PRINT)

FIRM/DONOR:________________________________________DATE:__________________

REPRESENTATIVE:___________________________________PHONE:_________________

ADDRESS:___________________________________________FAX:____________________

CITY:________________________________________________ZIP:_____________________

E-MAIL:_________________

SEND THIS FORM TO:
Career Education Office
PO Box 6307
Santa Barbara, CA 93160-6307
OR:
John McIntosh
5351 Carpinteria Ave.
Carpinteria, CA 93013

Direct questions regarding this program to Betty Hatch at FAX 682-6839 or betty@selfesteem.org.

 

Home > Our Projects > Attendance Bank Coordination > How to Organize and Administer > ABC Donation Form