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:

I would like to support: Equity Diversity and Inclusion for Scientific Excellence

If you would like to support an additional fund, please enter it here:

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