Donation Matching Log

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Donation Matching Log

This form records the personal donations we have made to organizations fighting for racial justice.
Please submit one form per donation you have made, beginning on 5/26/20.
*The student diversity committee updates the log manually, so please allow a few hours for us to do so after submitting.*

Sign in to Google to save your progress. Learn more

* Indicates required question

Your role in department

Faculty

Trainee (Student, postdoc, tech, undergrad, etc.)

Staff

Other:

Clear selection

Your Name (optional)

Your answer

Recipient organization name (one organization per form submission) *

Your answer

Donation amount *

Your answer

Recurring?

One-time donation

Recurring monthly

Other:

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy