First Namerequired

Last Namerequired

I wish to remain anonymous.

Yes

Yes, I would like to participate in the OES Fund by making a gift through payroll deduction.*

Choose frequency of donation:

Monthly One-Time

I would like to designate my gift to a specific OES program area:*

Yes No, use my gift wherever it is needed most.

I would like to designate my gift to the following area:*

FLEXIBLE TUITION: Support current spending for need-based financial grants. ATHLETICS: Support access to no-cut athletics with appropriate equipment, jerseys, and well-maintained sports facilities. ARTS & LITERATURE: Support theater, music, reading, and the literary and visual arts. SCIENCE & TECHNOLOGY: Support inquiry-based experiential learning through original research. SERVICE & COMMUNITY: Support service learning, wellness, and community gatherings that inspire responsibility and develop leadership.

Monthly Donations

Choose a Monthly Donation Amount*

Choose the amount to be deducted from your paycheck in consecutive months from the date of first installment:

Other Monthly Amount:

Choose a Duration for your Monthly Donation*

Indicate how long you wish your monthly donation to continue.

Until July 1 Until further notice Other

Other Duration:

Month of First Installmentrequired

Please choose the month's paycheck from which you would like your first installment deducted. Your gift must be submitted by the 13th of the month to be deducted from the next month's paycheck. The first paycheck of the fiscal year is August 1, and the final paycheck is July 1.

One-Time Donation

Choose a One-Time Donation Amount*

Choose the amount to be deducted from your paycheck in consecutive months from the date of first installment.

Other Amount:

Date of Giftrequired

Please choose the month's paycheck from which you would like your gift deducted. Your gift must be submitted by the 13th of the month to be deducted from the next month's paycheck. The first paycheck of the fiscal year is August 1, and the final paycheck is July 1.

Comments

Please let us know here if you have any special instructions about your gift:

Electronic Signaturerequired

By typing my name here, I certify that I am the person listed under "Employee Name" and authorize deduction(s) to be made from my paycheck according to the schedule I have set in this form.