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Designations ATSU greatest need
ATSU general scholarship
ATSU student emergency fund
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Selected Designations (edit)

Remove	Name	Amount	Percentage
	A.T Still University Dr. Jack Magruder Memorial Interdisciplinary Biomedical Research Symposium award for the best undergraduate research poster presentation	$	%
	AFA Balance & Hearing Institute	$	%
	Allgood Family Endowed Scholarship for SOMA	$	%
	ASDOH General Scholarship Fund	$	%
	ASDOH greatest need	$	%
	ASDOH Scholarships	$	%
	ASDOH Smile Forward American Indian	$	%
	ASDOH Smile Forward greatest need	$	%
	ASDOH Smile Forward Mature Audiences	$	%
	ASDOH Smile Forward Orthodontics	$	%
	ASDOH Smile Forward Pediatrics	$	%
	ASDOH Smile Forward Special Needs	$	%
	ASDOH White Coat	$	%
	ASHS Audiology (AuD) White Coat and Pin	$	%
	ASHS Concussion Program	$	%
	ASHS greatest need	$	%
	ASHS Physician Assistant (PA) White Coat	$	%
	ASHS Scholarships	$	%
	ASHS Student Emergency Assistance Fund	$	%
	Athletic Training Program	$	%
	ATSU General Scholarship Fund	$	%
	ATSU greatest need	$	%
	ATSU Still Research Institute Department	$	%
	ATSU Student Emergency Fund	$	%
	Audiology Foundation of America (AFA) Still Hearing	$	%
	Audiology Foundation of America (AFA) Student Excellence Scholarship	$	%
	Audiology Program	$	%
	CGHS Dean's Fund for Violence Prevention	$	%
	CGHS greatest need	$	%
	CHC Founding Members	$	%
	CHC general scholarship fund	$	%
	CHC greatest need	$	%
	CHC Naming Opportunity (please provide detail in the gift instruction box)	$	%
	Clinic and Classroom equipment fund-Education and Recreation (E.A.R.)	$	%
	Clinical Performance Center	$	%
	CoastHills Credit Union Health Professions Education Scholarship fund	$	%
	Community Impact Scholarship	$	%
	DiBaise Endowed Scholarship for PA	$	%
	Dillenberg Center greatest need	$	%
	Dillenberg Center Innovation Clinic Dental Lab	$	%
	Dillenberg Center Oral Health Research Center	$	%
	Dillenberg Center PDS Innovation Clinic	$	%
	Dr. Bernadette Mineo Endowed Scholarship for Occupational Therapy	$	%
	Dr. Michael & Sandra Samuels Community Impact Endowed Scholarship	$	%
	Dwight Patterson Youth Sports Scholarship	$	%
	Elsie Gaber Compassion & Integrity Award	$	%
	Graduate Health Professions (GPS) Scholarship	$	%
	Hero Healer Seminar fund	$	%
	Jason and Lori Haxton Scholarship	$	%
	Jason and Lori Haxton Still Scholars Scholarship	$	%
	JBI Brighter Futures Dean’s Fund for the College of Graduate Health Studies (CGHS)	$	%
	KCOM Class of 1997 Scholarship	$	%
	KCOM greatest need	$	%
	KCOM Rinefort Student Emergency Relief	$	%
	KCOM Scholarships	$	%
Please write in your choice, otherwise gifts will be directed to the KCOM Financial Award.
	KCOM Student Research & Research Travel	$	%
	KCOM White Coat	$	%
	Kirksville Dental Group Scholarship	$	%
	Kirksville Osteopathic Alumni Association (KOAA) funds	$	%
In the text box below, write in either Education Program Fund or Student request Fund.
	Kirksville Preferred Merchant Scholarship	$	%
	KOAA Education Program	$	%
	KOAA Endowed Scholarship for KCOM	$	%
	KOAA Student Request fund	$	%
	Mason Vig Memorial Scholarship	$	%
	MOSDOH greatest need	$	%
	MOSDOH Scholarships	$	%
	MOSDOH Smile Forward for Head and Neck Cancer	$	%
	MOSDOH Smile Forward for Veterans	$	%
	MOSDOH Smile Forward greatest need	$	%
	MOSDOH Smile Forward Mature Adult	$	%
	MOSDOH Smile Forward Pediatriacs	$	%
	MOSDOH Smile Forward Special Needs	$	%
	MOSDOH White Coat	$	%
	Museum Collections	$	%
	Museum Endowment	$	%
	Museum Membership	$	%
	Museum of Osteopathic Medicine greatest need	$	%
	Museum Special Exhibits	$	%
	Natalie Beissel Endowed Scholarship for SOMA	$	%
	Neil Sargentini Student Research Growth Fund Endowment	$	%
	Norman Gevitz, PhD, Scholarship	$	%
	Occupational Therapy Program	$	%
	Osteopathic Manipulative Medicine Research	$	%
	Other	$	%
Please indicate or best describe the gift designation that you wish to give to:
	Paula Tadano Memorial Scholarship	$	%
	Perry's Passion for Service Scholarship	$	%
	Physical Therapy Program	$	%
	Physician Assistant Program	$	%
	Ron Gaber Student Leadership Award	$	%
	Sally Rosenthal Tor Memorial Endowed Scholarship for ASDOH	$	%
	SOMA greatest need	$	%
	SOMA Osteopathic Manipulative Medicine Center	$	%
	SOMA Scholarships	$	%
Please write in either Natalie Beissel, International Community, Community Impact, or general
	SOMA Student Research & Research Travel	$	%
	SOMA White Coat	$	%
	St. Louis Dental Center	$	%
	Still Standing Fall Prevention Outreach	$	%
	Thompson Campus Center Renovations	$	%
Total:		$0.00	0%

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Please email (development@atsu.edu) or send your company's matching gift form to:

A.T. Still University
University Advancement
Attention: Harvey Summers
800 W. Jefferson St.
Kirksville, MO 63501
ksummers@atsu.edu 660.626.2511

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