• If contributing to the Alumni Annual Fund/Pentecostal Leaders Fund, check this box:
• If contributing to the Partnership Program, please enter the student's name:
  
  
  
  
• If contributing to an endowed scholarship fund, choose from the following list. See a description of Endowed Scholarship Funds.
  
  Choose a scholarship fund. AGTS Women’s Fellowship Scholarship Andrew and Myrtle Robeck Double Honors Scholarship Philip Bongiorno Scholarship Cordas C. Burnett Scholarship Daisy Cole Scholarship Family Counseling Scholarship Joseph R. Flower Scholarship Robert E. and Mary M. Hanf Scholarship Gracie Highfill Scholarship Jewish Ministries Scholarship Edgar R. Lee Double Honors Scholarship Ann Jones Martinez Scholarship Noel Perkins Scholarship Powers-Aker Missions Scholarship John Seregow Scholarship Della Z. Smith Scholarship Del Tarr Missions Scholarship Valborg Frandsen Memorial Scholarship Philip Wannenmacher Memorial Scholarship Morris Williams Scholarship

*Credit Card Number:
*Expiration Month:
*Expiration Year:
*Card Security Code:	What is the card security code?
*Name as it appears on credit card:

Interested in Electronic Funds Transfer? Click here to download the form or call
417-268-1012 for more information.