Please return this form to the HCC Foundation office or make your contribution online at www.hccsfoundation.org (click on “Faculty & Staff Campaign”).

YES, I would like to join my co-workers in making a difference through the HCC Faculty and Staff Campaign!

Name

College/Campus

Department

Work Phone

I would like my gift to benefit the following scholarship (please choose ONE only – no split gifts):

HCC Foundation Annual Fund (This option allows the HCC Foundation to allot your gift where the greatest need exists.)

The following scholarship fund:

(See list of eligible funds.)

Payment options on reverse.

Select the HCC scholarship you want your gift to benefit.To designate a fund, please choose from the following list and write in your selection in the blank on the attached donation card (select one only - no split gifts). Or, if you wish for your gift to be applied where the greatest need exists, simply check “HCC Foundation Annual Fund” instead.

HCC Foundation Annual FundAllied Fire Protection ScholarshipAMI Education ScholarshipARAMARK HCCS College ScholarshipARAMARK HISD ScholarshipAsian Chamber of Commerce ScholarshipAssistance League of Houston V.A.S.T ScholarshipRepresentative Kevin Bailey Endowed ScholarshipHonorary Bob G. Bibb Fashion and Interior Design ScholarshipBritish American Foundation of Texas ScholarshipJim Box Endowed ScholarshipEstelle Cameron Memorial ScholarshipJamie Davis Memorial ScholarshipdeRoulet DAAC ScholarshipRobert Emory Memorial Veterinary Scholarship Harriet and Joe Foster Foundation YMCA ScholarshipDr. G. Edward Fritchie Memorial ScholarshipWillie Lee Gay ScholarshipCarlos Gonzales Memorial ScholarshipHouston Radiological Society Endowed ScholarshipHCCS Foundation/Junior Achievement of Southeast Texas, Inc. ScholarshipMarjorie Goldberg Lott Accounting ScholarshipJosephine Ramirez Nelson Hispanic ScholarshipOpportunity 14 Endowed ScholarshipRadia Enterprises Endowed ScholarshipRudy T. Classic Golf Tournament ScholarshipSahni Family ScholarshipJohn C. Sefert and Family Memorial Endowed ScholarshipSembradores de Amistad Education Foundation ScholarshipShell Westhollow ScholarshipSociety of Iranian American Women for Education ScholarshipSociety of Photographers in Industry Endowed ScholarshipMary E. Stephenson Memorial Nursing Endowed Scholarship

Andrea White Endowed ScholarshipJ.B. and Paula Whiteley Endowed Scholarship Faculty and Staff Originated Funds:Association of Women Administrators ScholarshipBedichek/Orman Professional Development FundBlack History ScholarshipDr. Ruth Burgos-Sasscer/Jennifer Daley Endowed ScholarshipCentral College Dance ScholarshipComputer Science Technology ScholarshipCOPA ScholarshipDigital Gaming Scholarship Finance and Administration ScholarshipHCC Faculty and Staff ScholarshipHCC Fashion ScholarshipHELC Dual Credit Book ScholarshipHELC Professional Enhancement for Faculty and Staff Operating FundHELC ScholarshipRita Kelly Memorial ScholarshipKay King ScholarshipMary Thomas Marshall Endowed Choral ScholarshipCarlos Najera Memorial ScholarshipNortheast College ScholarshipNorthwest College Creative Writing Program ScholarshipBillie Bath Pearlman Memorial Endowed ScholarshipReal Estate ScholarshipDr. Edward Reasoner Memorial ScholarshipMary Nell Reck Culinary ScholarshipJoyce Reynolds Memorial ScholarshipSouthwest College Brick FundSouthwest Intensive English Program Endowed ScholarshipJanice Sutton Memorial ScholarshipWheatley High School ScholarshipDr. Pat Williamson ScholarshipMarsha Anne Wooldridge Scholarship

FOUNDATION

a special requestfrom some ofyour favorite colleagues. . .

2010 Faculty and Staff Campaign

FOUNDATION

Please join us in giving to the

Houston Community College

2010 Faculty and Staff CampaignThese are just some of the hundreds of generous Houston Community College faculty and staff members who have donated to the HCC Faculty and Staff Campaign. Their support makes it possible for our students to continue their education at HCC and to prepare themselves and their families for a better life.

Please make your donation today by filling out this card or completing the online form at www.hccsfoundation.org (click on “Faculty & Staff Campaign”).

Thank you for everything you do to help our students.

Free gift with every donation—while supplies last!

FOUNDATION

George KollieHCC Administrative Staff

Raquel FangmanHCC Administrative Staff

Kay KingHCC Faculty

Johnny SessumsHCC Faculty

Dr. Weldon ElbertHCC Counselor

“We encourage you to

donate today to help

HCC students fulfill their

dreams for the future.”

PAYROLL DEDUCTION: I authorize the bi-monthly deduction from my after-tax wages for a charitable contribution as indicated herein. I understand that this authorization begins April 30, 2010 and automatically expires with the April 15, 2011 pay period. I also understand that I may revoke this authorization at any time by giving the HCC Foundation written notice.

$3 $5 $10

$15 $20 Other

Signature

Date

ONE-TIME GIFT: Cash or check payable to the HCC Foundation.Houston Community College Foundation3100 Main, Suite 12B12 (MC1148)Houston, TX 77002 (713) 718-8488

2010 Faculty and Staff CampaignPayment Options

All gifts to the HCC Foundation are tax deductible to the extent allowed by law. In compliance with IRS tax reporting laws, the amount of your charitable contribution is limited to the excess of your payment over the value of goods or services provided by HCCF. The HCCF tax identification number is #74-1885205. A 2.5% promotional/operational fee is charged on all gifts received by the HCC Foundation.