2017 Faculty and Staff Payroll Deduction

Payroll Deduction Form

1. Your Information:
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Employee Information
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2. Please Designate My Gift To:
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SOAR FOR EXCELLENCE FUND
Unrestricted funding that permits the Foundation to dedicate money to the area of greatest need.

EAGLET FUND
A new fund that provides scholarships for children and immediate family members of faculty and staff (full-time/part-time).

ADJUNCT ACADEMY
A new fund that provides support for the professional development of adjunct faculty.

3. Split Gift Options (Optional)
Check the box below if you would like to split your gift with a second fund.
4. Payroll Deduction Options
*Your gift will be deducted per pay period of each month.
A minimum of $5 per pay period is required for payroll deduction.
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5. Matching Gifts (Optional)
Does your spouse or partner work for a company that will match your charitable contribution? Confirm your eligibility at http://www1.matchinggifts.com/hccs
6. Other (Optional)
In your own words tell us why you are all in for HCC students.
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© 2011 HCC Foundation

3100 Main, Suite 12B12, MC 1148, Houston, Texas 77002
Phone: 713-718-8595 | Fax: 713-718-8631