Stewardship and Donor Recognition Form Stewardship or donor recognition form requests handled by the UF Health Advancement Donor Relations team. Please submit requests one week prior to date needed. Development Officer or Requestor* First Name Last Name Submitted By* First Name Last Name Submitter Email Address* Enter Email Confirm Email Today's Date* MM slash DD slash YYYY Need-by Date* MM slash DD slash YYYY DO Visit or Travel Date* MM slash DD slash YYYY How will the item(s) be hand-delivered or shipped?* Hand-delivered Shipped Airplane (carry-on) Airplane (checked) Donor 1 Information*First and Last NameAdvance IDGrad YearCollegeDonor 2 InformationFirst and Last NameAdvance IDGrad YearCollegeGift (check all that apply)*If hotel basket is needed, please add check-in date and hotel name in the fields that will pop up. Please confirm check-in date with hotel and include information such as food allergies and/or restrictions, likes and dislikes. COM UF Health Grateful Patient Combination Tchotchke Stethoscope Special Item Hotel Basket Hotel Basket - Number of GuestsHotel Basket - Check-in Date MM slash DD slash YYYY Hotel Basket - Hotel Name Hotel Basket - Additional CommentsGiving Total*College of MedicineUF Health/ShandsHealth Science CenterStage* Identification Cultivation Stewardship Purpose of VisitAdditional Comments or InformationE.g. planning to solicit for a large gift or pledge, presidential prospect, hobbies, etc.Suggested WordingWording or information to be included on plate or plaque (used for stethoscope or other engraved items).HiddenFor Donor Relations StaffHiddenPast Gift HistoryHiddenOther NotesNameThis field is for validation purposes and should be left unchanged.