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JCU Employee Payroll Deduction Giving Form
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Employee ID (Banner ID) #
First Name
Last Name
JCU Email Address
JCU Phone Number
Please Direct My Gift To:
Please Direct My Gift To:
The Carroll Fund
Other
If Other Please Specify
Payroll Deduction Options: Forms must be submitted by the 15th of the month to start a deduction the following month. You may choose to end your payroll deduction at any time by sending written notification to the Development Office. *
Payroll Deduction Options: Forms must be submitted by the 15th of the month to start a deduction the following month. You may choose to end your payroll deduction at any time by sending written notification to the Development Office. *
I would like to set up a multi-payment contribution to be deducted from my pay in equal installments. ($5 minimum per deduction, 12 month maximum).
I would like to make a one-time payroll deduction contribution ($5 minimum)
Total Amount of Gift (ie $5 per pay x 26 pays = $130
I am Paid:
I am Paid:
Bi-weekly (26 per year)
Monthly (12 per year)
Your request will be forwarded to the Department of Advancement Services and the Payroll Department.
For questions regarding this procedure please contact Bridgette Chicone at bchicone@jcu.edu or at ext 4338.
Submit