Mercy
2021 Holiday Giving Campaign
Thank you for contributing to the 2021 Holiday Giving Campaign! Please complete this form each time you submit a donation, and for each donation category. For example, submit one form for Student Emergency Fund donations, and then a separate form for Food Pantry donations. The fields for the other donation types (not what you are submitting) can be left blank.
Need help?
Please reference the email sent out, which includes an instructional video, or contact either a team captain, Jennifer Jones or Melanie (Vincent) Rockhill.
Name
*
First
Last
Mercy College Email
*
Select your Team
*
Donner
Rudolph
Select your Donation Type
*
Mercy College Student Emergency Fund (MCSEF)
Mercy College Food Pantry
Volunteer Your Time
STUDENT EMERGENCY FUND DONATIONS:
Please provide the dollar amount donated below.
EXAMPLE: $50
STUDENT EMERGENCY FUND DONATIONS:
Was this Student Emergency Fund donation made on Giving Tuesday (11/30)?
Yes
No
Unsure
N/A
FOOD PANTRY DONATIONS:
Using the chart below, please select the item and quantity of each item donated. If you have 10 or more items for one donation type, please select '0' and use the box below to enter your donations.
EXAMPLE:
Toilet Paper - 15
Egg Noodles - 20
Tampons - 12
0
1
2
3
4
5
6
7
8
9
Canned Tuna/Chicken/Beef
1
2
3
4
5
6
7
8
9
10
Egg Noodles
1
2
3
4
5
6
7
8
9
10
Pasta Noodles
1
2
3
4
5
6
7
8
9
10
Peanut Butter
1
2
3
4
5
6
7
8
9
10
Jelly/Jam
1
2
3
4
5
6
7
8
9
10
Macaroni and Cheese
1
2
3
4
5
6
7
8
9
10
Granola Bars (box)
1
2
3
4
5
6
7
8
9
10
Cereal
1
2
3
4
5
6
7
8
9
10
Diapers (box)
1
2
3
4
5
6
7
8
9
10
Baby Wipes (package)
1
2
3
4
5
6
7
8
9
10
Disposable Razors (individual)
1
2
3
4
5
6
7
8
9
10
Cleaning Supplies
1
2
3
4
5
6
7
8
9
10
Toilet Paper (per roll)
1
2
3
4
5
6
7
8
9
10
Menstrual Pads (box)
1
2
3
4
5
6
7
8
9
10
Tampons (box)
1
2
3
4
5
6
7
8
9
10
Laundry Detergent
1
2
3
4
5
6
7
8
9
10
Can Opener
1
2
3
4
5
6
7
8
9
10
FOOD PANTRY DONATIONS:
Don't see what you donated above? Please type the item and quantity below.
VOLUNTEERING YOUR TIME:
Please name the organization you are serving below.
VOLUNTEERING YOUR TIME:
Please provide the number of hours you served with the organization, or have pledged to serve.
CALCULATE YOUR POINTS
Please reference the point breakdown that was emailed to you and provide the total number of points below that you have earned from this donation.
EXAMPLE
You donated $75 to the Student Emergency Fund, you would put "75" below.
*
Do Not Fill This Out
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