Giving Survey Title No Response Dr. Mr. Mrs. Ms. Miss First Name* Middle name Last Name* Former Name Spouse title Dr. Mr. Mrs. Ms. Miss Spouse first name Spouse Middle Name Spouse last name Spouse former name Address* City* State* Zip* Home Telephone* Work telephone Email Have you previously given to the HES program? Yes No Are you an HES alumnus? Yes No if yes, graduation year If not, in honor of whom (are you interested in giving)? Would you like to be Contacted personally? Sent more info (check all that apply) HES Newsletter Brochure on giving General info about HES Upcoming research conference program (if available) To which fund are you interested in giving? HES Development Fund Cogan Student Research Fund Larry W. and Linda K. Boleach Scholarship Fund Jack and Melba Bowen Scholarship Fund Joseph P. Dolan Scholarship Fund Sheryl Fullerton Grim Scholarship Fund Other Do not fill in the following field Google Recaptcha response