Employee Donation Payroll Deduction Form - University of Western States

Thank you for choosing to make a recurring, tax-deductible donation to UWS via payroll deduction. With your first gift, the office of development will reach out to you to welcome you as a member of Students First, our employee giving recognition program.

You may direct your donation to one or more of the below funds. If you are interested in a fund or gift purpose that is not listed below please contact the development office at giving@test.uws.edu.

Employee Donation Form

Employee Name*
First Last
Department*
UWS Email*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Fund Designation*
- Select All
- Students First Annual Fund
- Scholarship Fund
- Library Fund
- Diversity, Equity and Inclusion Fund
Additional Notes
Bi-Weekly Gift Amount*
Gift will be split evenly among selected funds.
Date Payroll Deduction Should Begin*
- Next Pay Date
- Other
Other: Date Payroll Deduction Should Begin*
MM slash DD slash YYYY
Consent*
I acknowledge that I have read, understand, and agree to be bound by the terms below.
I authorize UWS to deduct giving from my paycheck as described above. I understand that if I wish to stop ongoing deductions I will notify the UWS advancement office at giving@test.uws.edu
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Comments
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