Employee Giving Pledge Form

With your help, Snow College can make a big difference in a student’s life. Your gift can help in so many ways, thank you!

• $4,000: Will Pay Tuition and Fees for One Student for One Year.
• $5,100: Will Room and Board for One Student for One Year.
• $1,500: Will Pay Costs of Books for One Student for One Year.
• $384: Will Pay Fees for One Student for One Year.

Please submit the form below or you can print and mail/email this form.

If you see this don't fill out this input box.

Ongoing Monthly Payroll Deduction

Monthly Amount*

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Gift Designation*

Unrestricted

General Scholarship Endowment Fund

Rural Student Scholarship Initiative

Buster's Pantry

Other (specify below)

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Gift Designation - Other

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If you chose "Other" in the options above, use this field to type where you would like your gift to be directed, if we cannot find an exact match we will find a related fund and reach out to you to confirm.

Acknowledgment *

I agree the payroll deductions above will be continues unless revoked either by a letter or a new pledge and payroll deduction form.

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Recognition

I prefer that my gift remain anonymous

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Recognition Name*

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Please specify the format you would like your name to be listed in any recognition materials (i.e. Mr. John Smith, John Smith, etc.)

Banner ID*

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Email*

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Employment Status*

Full Time - Staff

Full Time - Faculty

Part Time

Student Worker

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Signature*

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Enter your full name as your signature

Today's Date*

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