Employee Giving-z

A GUIDE FOR GIVING thru Payroll Deduction or Direct Donation

It's easy! You can donate thru payroll deduction or by making a direct donation. Following is a guide to help you decide your level of giving and a brief description of the Foundation Funds. You can select up to two funds for your payroll deduction.

Patient Medication Assistance - provides limited short-term medication assistance for disadvantaged patients.

Unrestricted/Greatest Need - responds to the Hospital's most urgent needs.

Scholarship Fund provides scholarships to St. Mary's employees and students pursuing health care education.

DIRECT DONATION FOR FOUNDATION FUNDS

DONATE NOW

PAYROLL DEDUCTION FORM

Complete the form to participate in the Employee Giving Campaign thru payroll deduction. 100% of your tax deductible donation will be applied towards the fund(s) of your choice.

* Indicates required field

Name *

First

Last

ADDRESS *

CITY *

STATE *

ZIP *

PHONE/EXT *

EMPLOYEE ID *

Payroll deduction will begin immediately and run continuously until you chose to adjust it in Workday. Indicate below the amount you want deducted per pay period.

DONATION AMOUNT *

Please apply my gift to the following fund.

Choose no more than TWO funds *

Patient Medication Assistance Fund Scholarship Fund Unrestricted/Greatest Need

Signature (type name) *

Submit