Tell us more about your legacy gift

Donors who include Augustana in their estate plans leave a lasting legacy at the college, and we honor them as members of Augustana Founders and Augustana Founders in Memoriam. Their generous gifts grant future generations of students access to the transformative Augustana experience.

Please use the secure form below to inform the college of our inclusion in your plans or if you have updated your plans that will affect a gift we already know about. We are most grateful.

If you have any questions or would like more information, please check out Augustana's legacy planning webpages or contact Kelly Noack at kellynoack@augustana.edu or 309-794-7474.

If you are a married couple, please have one person fill out the form below and include the other spouse's name when prompted. Please also have the other spouse type their own signature at the bottom of this form. Thank you!

Full first name

Preferred first name

Legal last name (please only include your current legal last name)

Email Address

Birthdate (for matching to your Augustana record)

Is this a joint estate gift with a partner or spouse?

Yes

What is the full name of your partner or spouse?

What is your partner or spouse's birthdate?

Mailing Address

Country

Street

City

Region

Postal Code

What information are you sharing with the college today?

I want to inform Augustana of its inclusion in my plans for the first time

I have updated my plans and want to provide new information

I have removed Augustana from my estate plans

What is your conservative estimate of the value of your estate gift to Augustana?

Other amount

How do you plan to give this gift?

Please describe the arrangement

What is the name of your Executor, Trustee or Plan Administrator?

Estate gifts often are given to the general purposes of the college so that the college can use the gift in the most advantageous way at the time it receives the gift. Donors also may specify a purpose for their gift. If you intend to specify a purpose, please detail that purpose below.

Please share any notes or other information below

By typing your signature into the box below, you understand that this document does not represent a legally binding commitment and that the amount listed above is an estimate. Please inform Augustana College of any changes to your estate plan that impact the amount, type, or designation of your deferred gift.

By typing your signatures into the boxes below, you understand that this document does not represent a legally binding commitment and that the amount listed above is an estimate. Please inform Augustana College of any changes to your estate plan that impact the amount, type, or designation of your deferred gift.

Thank you for informing us that Augustana College is no longer in your estate plans. By typing your signatures into the boxes below, you understand that the college will remove your planned gift from its records.

Thank you for informing us that Augustana College is no longer in your estate plans. By typing your signature into the box below, you understand that the college will remove your planned gift from its records.

Donor Signature