Arlene Miles Scholarship Fund Donation Form

Thank you for supporting the Arlene Miles Scholarship Fund, and those that dedicate themselves to Long-Term Care in Colorado.

All contributions to the Arlene Miles Scholarship fund will be used to directly fund scholarships. Checks should be made out to the CHCA Educational Foundation, and directed to the Arlene Miles Scholarship Fund.

No goods or services are provided in exchange for this donation. The CHCA Educational Foundation is a tax exempt organization as described in Section 501(c)(3) of the Internal Revenue Code.

Please send check donations to:

Colorado Health Care Association
4100 E. Mississippi Ave
Suite 925
Glendale, Colorado 80120

Arlene Miles Scholarship Fund

Organization(Required)

Donors Name(Required)

First Last

Are you donating on behalf of your organization or as an individual?(Required)

Organization

Self

Donors Phone Number(Required)

This will be used to contact you to process the donation.

Donors Email Address(Required)