Donor Profile Information for Student Scholarship Recipients | Penn State College of Earth and Mineral Sciences

Please fill out the form below to provide information about yourself to share with your student scholarship recipients.

Mandatory fields are shown in red text with an asterisk*
This form should take about 10-15 minutes to complete
A few sentences for each question is fine (Up to 150 words)
You may include a current photo for your donor profile, but it is not required. To note, this does not have to be a professional headshot photo
We hope that these profiles will give our EMS student scholarship recipients a better snapshot of their scholarship donors. You only need to fill out the form once, regardless of how many scholarships you have funded

First name

Last name

Where do you currently reside? (City/State)

Occupation

Alma Mater(s), Degree(s) and Year(s)

Example: Penn State, B.S. Geography, 1992 (or a different institution or N/A)

Alma Mater(s), Degree(s) and Year(s)
	Alma Mater(s), Degree(s) and Year(s)	Item weight

more items

Would you like to include spouse/partner information in your donor profile?

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse/Partner Alma Mater(s), Degree(s) and Year(s)

Example: Penn State, B.S. Materials Sciences and Engineering, 1996

Spouse/Partner Alma Mater(s), Degree(s) and Year(s)
	Spouse/Partner Alma Mater(s), Degree(s) and Year(s)	Item weight

more items

Email Address

Upload Photo

Adding a photo creates a more personal connection and allows the recipient(s) to learn more about the person behind their scholarship Please upload one here.

NOTE: If you are including your spouse, please upload a photo that includes both of you.

One file only.
30 MB limit.
Allowed types: gif jpg jpeg png tiff.

About you

Hobbies/Interests

What inspires you to support Penn State?

What do you hope to accomplish with your philanthropy? What inspired you to begin your philanthropic journey?

Message to student scholarship recipient(s)

LinkedIn profile

Connect with your student scholarship recipients on LinkedIn!

Note: To locate the url for your LinkedIn profile, go to the Me tab at the top and then click on the button View Profile. Your url is listed under the Public profile and URL section on the right side of the page. You may need to add the text https:// before the copied url for it to be accepted.