St. Thomas University Faculty & Staff Annual Giving Campaign

Payroll Deduction Form

Payroll deduction is an easy way for University employees to make gifts directly and automatically from a paycheck. When you make a payroll deduction gift, you may instruct the University to withhold a minimum contribution of $5 per pay period. Please note, If you select semi-monthly deduction, the authorization will remain in effect until the pledge balance is paid in full.

I hereby authorize the STU to deduct the following as my gift to St. Thomas University:

All fields are required unless otherwise specified
Personal Details:

First Name:

Last Name:

Your email:

Your phone:

STU ID:

Department/Team:

Address:

Street Line 1:

Street Line 2: (optional)

City:

State:
---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands

Postal Code:

Choose a payroll deduction type:
One-time Lump Sum GiftRecurring Payroll Deduction (gift will be divided annually over 26 pay periods)

Note: For STU Faculty and Staff that make a minimum donation of $120 will receive a limited edition an STU umbrella!

I confirm that I understand I am choosing a recurring payroll deduction that will deduct the amount I specify below from my paycheck semi-monthly.

One-time Lump Sum Gift:
I authorize a total gift of the below specified amount in dollars as a one-time only deduction on the below specified date.

Deduction Amount:
$

Deduction Date:

Recurring Payroll Deduction: (gift will be divided annually over 24 pay periods)
I authorize a pledge of the below specified amount in dollars to be paid by payroll deduction semi-monthly. This authorization will remain in effect until the pledge balance is paid in full.
e.g.: $1,000 pledge over 24 pay periods is a deduction of $41.67 per pay period

Total Pledge Amount:
$

I would like my gift to support:
---University's Greatest NeedsUniversity ScholarshipsUniversity AthleticsCollege of Law's Greatest NeedCollege of Law Scholarships

Spouse Matching: (optional)
My gift will be matched through my spouse’s company’s matching gift program.

Company name:

Please contact Danny Yanez, Associate Vice President of Philanthropy and Alumni Relations, at dyanez@stu.edu if you have any questions or concerns.