* = required fields

• Your Name*: First* Last* Middle Maiden Name


• Your Graduation Year(s):


• Relationship to EIU: Alumnus Parent Faculty/Staff Student Friend


• Name of Spouse or Partner (If Applicable): First Last Middle Maiden Name


• Spouse's Graduation Year (If Applicable):


• Address*: Street* City* Pick your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming NA - Non Us Resident State* Zip*
  
  
  Country*
Home Phone (xxx) xxx-xxxx


Cell Phone (xxx) xxx-xxxx


E-mail:


If your gift is in honor or in memory of someone: In Honor Of     In Memory Of


Honor/Memory Name:

You may be able to double — or even triple — your gift to EIU!
Many companies promote philanthropy amongst their work force via matching gift programs. Through these programs, employers generously match the charitable contributions made by their employees — and in some cases, even those of retirees and/or spouses or employees.

Once you complete the above form and submit it by clicking the "Make My Gift" icon, you can find out if your employer is one of these generous companies. Simply click the following link and enter your employer's name in the search bar:

Matching Gift Employer Lookup

If your company participates in such a program, you may be able to access the necessary paperwork directly through our search function. Follow the set procedure, and Eastern Illinois University will be happy to assist.