THOMAS SAMUELS SCHOLARSHIP

The Program for Deaf Adults has proudly established the Thomas Samuels Scholarship. The Thomas Samuels Scholarship is named to honor Tom’s years of service and many contributions to LaGuardia Community College and the Program for Deaf Adults. The scholarship is awarded annually to Deaf and hard-of-hearing students enrolled at LaGuardia Community College in recognition of their academic achievement.

If you would like to support our efforts in acknowledging the accomplishments of LaGuardia’s Deaf and hard-of-hearing students, donations can be made to the LaGuardia Education Fund for the Thomas Samuels Scholarship. Please complete the form below and return it with your donation. Contributions to the LaGuardia Education Fund are tax deductible pursuant to section 501(c)3 of the Internal Revenue Code.

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Enclosed is my/our donation of $ _____________.

Make checks payable to: LaGuardia Education Fund, Inc.

Indicate in memo area: Thomas Samuels Scholarship/EF-2619

NAME: ______________________________________________________

ORGANIZATION: _____________________________________________

ADDRESS: __________________________________________________

CITY: __________________________ STATE: _____ ZIP: _________

TELEPHONE: __________________________________ (Voice/TTY/Both)

E-MAIL: _____________________________________________________

Will your company match your gift? Company: _______________________

Please include your company’s matching gift form with your payment.

SEND TO: Thomas Samuels Scholarship

Program for Deaf Adults/C 203

LaGuardia Community College

31-10 Thomson Avenue

Long Island City , NY 11101

THANK YOU FOR SUPPORTING THE THOMAS SAMUELS SCHOLARSHIP!