Employee Giving Campaign
Payroll Deduction Form

Deductions will begin on either the 15th or the last day of the month, for a specified number of payroll periods or for the foreseeable future.

Employee Name:

HCCC Email Address:

Employee College ID #:

7-digit college wide ID number

Pledge to:

Please indicate the area which you would like your contribution to support below.

Pledge Anonymously?

If you pledge anonymously, your name will not be publicized in future communication materiel for all things relating to the Employee Giving Campaign.

Yes

Deductions to Begin On:

The 15th of the Month

The Last Day of the Month

Please indicate if you would like to give continuously, or for a specified number of paychecks.

After selecting an option, you will be prompted to enter an amount.

I will give $___ per pay period continuously.

I would like to donate $___ for ___ paychecks.

Please allow up to 10 working days for deductions to take effect.

If you have questions, please call (201) 360-4778 or email foundation@hccc.edu.

Thank you for your generosity and for helping HCCC continue to make a difference!

Send me a copy of my responses

Employee Giving CampaignPayroll Deduction Form