Dr. Susan Young Memorial Scholarship Gift Auction Reservation form

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2 Dr. Susan Young Memorial Scholarship Gift Auction Reservation form Reservation Name(s): Street Address: City, State, & Zip Code: Number of $45.00= Dinner Choice: address: Phone: ( confirmation) Check for $ payable to: Monmouth University MasterCard Visa American Express Discover Card# Exp. Date: CID Number (located on back of card): Authorized Signature: Tables can also be reserved for up to 12 guests Guest Name Dinner Choice Contact Information (address/phone/ ) In compliance with IRS regulations gifts to this event are tax deductible to the extent that the payment exceeds the fair market value of the cost of services purchased to conduct this event. If you are unable to attend and/or would like to make a donation to the School of Education, a donation form is enclosed for your convenience. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ *****Please forms with payment to pdeangel@monmouth.edu or Mail with payment enclosed to: School of Education Dean s Office, c/o Patti DeAngelis Monmouth University 400 Cedar Avenue West Long Branch, NJ 07764

3 Dr. Susan Young Memorial Scholarship Gift Auction Pre-Purchase Ticket Form Name: Street Address: City, State, & Zip Code: Number of Basic $25= Number of Grand $25= address: Phone: ( confirmation) Check for $ payable to: Monmouth University MasterCard Visa American Express Discover Card# Exp. Date: CID Number (located on back of card): Authorized Signature: In compliance with IRS regulations gifts to this event are tax deductible to the extent that the payment exceeds the fair market value of the cost of services purchased to conduct this event. *****Please forms with payment to pdeangel@monmouth.edu or Mail with payment enclosed to: School of Education Dean s Office, c/o Patti DeAngelis Monmouth University 400 Cedar Avenue West Long Branch, NJ Pre-purchase your ticket bags for $25 each (a savings of $5 per bag) Basic Bag Includes Grand Bag Includes 1 1 st Tier Sheet (25 Tickets) $5 3 Grand Prize Tickets $ nd Tier Tickets $10 1 Mega Grand Prize Ticket $15 3 Grand Prize Tickets $15 Ticket bags will be $30 at the auction

4 Monmouth University, School of Education Gift Auction Donation EVENT DATE: March 22, 2012 Donor Information: Company/Donor Name: Address: City, State & Zip: Phone: Information Pertaining to Donation Name of Donor s Item(s): Estimated Value: $ Describe Additional Details of Donation, if necessary (restrictions, sizes, colors, etc.) Signature of Donor/ Date We are also offering advertising space in our program booklet: Ad sizes and rates: The size of the booklet is 5x8. Full page: $50.00 Half page: $35.00 Business card: $25.00 All ads must be placed by and paid for no later than March 2, 2012 All fees are due at time of order. Please make checks payable to Monmouth University Please print: Business Name: Contact Name: Address: Phone: Price: $ Ad size: Ad to read (or include business card-no STAPLES PLEASE). Also, ALL artwork must be supplied by the vendor; why not include a coupon to increase foot traffic! (Don t forget an expiration date) (Please note that some adjustments may need to be made to fit page-please include contact number and to approve)

5 Dr. Young became a literacy professor at Monmouth University in Susan was a Department Chair, served on numerous school and university committees, played a central role in program and course development, and conducted scholarly research. She was responsible for establishing many university/school partnerships, including the Ready-Set-Go preschool in Long Branch. Susan was an outstanding, motivating teacher. She lived and breathed the concept of lifelong professionalism and expected students to develop that disposition. During her career at Monmouth, we formed the Monmouth University Special Interest Council of the International Reading Association and developed the two annual School of Education symposiums to provide professional development opportunities for our students and area teachers. Susan was the consummate advocate and advisor to students. She assisted and counseled a great many of students in regards to their career paths. Students were always found either in her office or waiting in line to meet with her about courses, programs, teaching and activities. She served as the faculty advisor to Kappa Delta Pi. In December 2003, Susan, after a brave, courageous fight, died from ALS. Susan is sadly missed by the Monmouth University community and is fondly remembered for her scholarship, exemplary teaching, and outstanding service contributions to the School of Education, Monmouth University, the community, and the field of education.

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