Donor Recognition Wall Listing Approval Form

Captures the gift level, naming language, and donor approval for inclusion on a giving society or recognition display. Used by stewardship staff before fabrication or printing.

Gift Officer & Record Information

• Gift Officer / Stewardship Staff Name
• Gift Officer Email
• Constituent / Donor ID (CRM Record Number)
  Enter the donor's unique identifier from your CRM (e.g., Raiser's Edge, Salesforce NPSP, Blackbaud).
• Date of Gift or Pledge Commitment
• Gift / Pledge Amount (USD)
• Recognition Program or Display
  Select the specific wall, display, or giving society where this listing will appear.
• If 'Other', please specify the recognition program

Gift Level & Recognition Tier

• Recognition Tier / Giving Society Level
• Custom Tier Name
• Gift Type
• Pledge Fulfillment End Date
  Required if gift type is a multi-year pledge.
• Intended Recognition Duration
  How long should this listing remain on the display?

Preferred Listing Name & Language

• How would you like your name to appear on the recognition display?
• Exact Listing Text
  Enter the precise name or phrase as it should appear. Include honorifics, suffixes, or punctuation exactly as desired. Max 120 characters.
• Secondary Line (Optional)
  A second line of text beneath the primary listing name, if desired. Max 100 characters.
• Honorific / Title Preference
  Select if an honorific should precede the name.
• I confirm the listing text above is correct and ready for fabrication
• Reason for Anonymous Listing (Optional — Internal Use Only)
  This information is for internal records only and will not appear on the display.

Named Space or Endowment Details

• Does this gift include a named space, room, or endowed fund?
• Type of Named Recognition
• Official Name of Space / Fund (as it will appear on plaque or listing)
• Is a signed Naming Agreement on file?
• Date Naming Agreement Was Signed

Donor Review & Consent

• I have reviewed the listing text and gift level shown in this form and confirm they are accurate.
• I consent to my name (or the name listed above) being displayed publicly on the organization's recognition wall or giving society display.
  Your name constitutes PII. Per our privacy policy, it will be used solely for recognition purposes and will not be sold or shared with third parties.
• I authorize the organization to proceed with fabrication or printing of my recognition listing as specified.
• Requested Changes or Corrections (if any)
  Leave blank if no changes are needed. A staff member will contact you to confirm corrections before proceeding.
• Donor Signature
  Your signature confirms approval of this recognition listing.
• Date of Signature
• Donor Email Address (for confirmation copy)
  A confirmation copy of this approved form will be sent to this address for your records.