Faculty and Staff Payroll Deduction form {1} ##LOC[OK]## {1} ##LOC[OK]## ##LOC[Cancel]## {1} ##LOC[OK]## ##LOC[Cancel]## Faculty and Staff Payroll Deduction Form Please note: Providence College operates on a fiscal year from July 1 - June 30. All gifts are tax deductible. First Name: Last Name: Campus E-mail: Email Confirm Your password must have each of the above components and be at least 8 characters. Does Not Pass Low Moderate Secure Very Secure Re-type your password. Re-type your email. Please verify your input by typing it again. Passwords do not match! Emails do not match! Inputs do not match! Passwords match! Emails match! Inputs match! Campus Phone Ext. Department: Banner ID I wish to: Please Choose Start a new payroll deduction Change payroll deduction Cancel payroll deduction Pay period Please Choose bi-weekly monthly Please indicate the amount you would like deducted each pay period. For a total gift amount of (if enrolling indefinitely, leave blank) Leadership annual gifts at the $1,917+ level ($500+ for alumni 6-10 years after graduation, $100+ for alumni within 5 years of graduation) are recognized by membership in the St. Dominic Society. I authorize Providence College to withhold the above amount per pay period for a duration of: Please Choose Renew Annually Until the end of the fiscal year (June 30 2023) This is: Please Choose replacing my current pledge in addition to my current pledge(s) an anonymous gift none of the above I would like to give to: I would like to give to: Area of greatest need (The PC Fund)Emergency student support (The Angel Fund)Varsity athletics (Friars Forever Athletics Fund)Financial AidDiversity equity and inclusionOther If you selected 'Other', please enter the fund or scholarship name. My spouse works for a company which will match my gift. Company Name: Please send your matching gift form to Gift Processing, Harkins 412 or email it to matchinggifts@providence.edu. Please Wait...
