Faculty and Staff Payroll Pledge

First Name: Required Field

Last Name: Required Field

Email:

Email

Employee Number Required Field

Phone Number and Extension Required Field

Address (Department, Office, Room #) Required Field

Monthly Donation Amount (will be split between the two paycheques per month) Required Field

This pledge will continue until otherwise notified.

I would like to support (these options will support general funds): Required Field

I would like to support (these options will support general funds): Black Student Success Centre
University's Greatest Needs
Scholarships
Bursaries
Other (please indicate which fund below)

If you selected other, please input what fund or type of fund you would like to support here

Source

website