Western University Be Extraordinary The Campaign For Western

Donor Appreciation: Saying Thank You

Your words of gratitude demonstrate the impact of supporting students at Western. Thank you for taking the time to express your appreciation for receiving a donor funded student award. The information collected is only shared with your award donor; it is not disseminated publicly.

The personal information on this form is collected under the authority of the Royal Charter of 1841, as amended. If you have any questions or concerns about the information collected or how it will be used, please contact Donor Relations & Stewardship at stewardship@uwo.ca.

First Name:

Last Name:

Student Number:

Name of Scholarship/Award/Bursary*:

* Please copy and paste the award name from the email sent to you by the Office of the Registrar and/or Alumni Relations & Development during the 2017-2018 academic year. If you received more than one award, please fill out a unique form for each award.

Message To Your Donor (250-500 Words)

Consider emphasizing:

  • -Your personal thanks
  • -How this financial support has made a difference to you
  • -Your academic and extracurricular interests (i.e. volunteerism, athletics, etc.)
  • -Your professional goals and aspirations

If you wish, you can compose and edit your message in Word and then copy and paste it into this form

Contact Information (optional)*

*If you choose to provide your contact information, it will only be shared with your donor(s) who may be in touch with you.

Western Email:

Phone Number (i.e. 555-555-5555):

Photo (optional)*:
*File name should include first/last name and Western student number, File size cannot exceed 2.0 MB.

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