2027 Employee Giving Form: Family Campaign Survey

Contact Information(Required.)

Name (First and Last):

Address:

City/Town:

State:

ZIP/Postal Code:

Email Address: (Personal preferred)

Phone Number:

Employee Information

Department:

Employee # (If available):

What is Your Donation Frequency for the calendar year? (Select one)(Required.)

A Recurring Payroll Deduction (every time you receive a paycheck, the donation is deducted); OR

A One-Time Payroll Deduction to be processed in the first payroll cycle of the year or my next paycheck (dependent upon form completion date), OR

I will pay by Check (payable to BBCC Foundation) or Cash, OR

I will pay by Credit Card online at: Donate Online (credit card processing fees apply)

Please select a Fund. (Select all that apply - if more than one is selected, the donation will be allocated equally, unless otherwise indicated in the "Comments.")(Required.)

Comment(s)

Donor Recognition (Default is First & Last Name unless specified below)

Remain Anonymous, OR

Please display the Donor Name as follows:

Date:(Required.)

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

Virtual Signature(Required.)

I hereby authorize Big Bend Community College Foundation to process my donation as recorded on this Employee Giving Form. If a recurring or one-time payroll deduction has been selected, I authorize Big Bend Community College to automatically deduct the amount indicated herein from my pay at the selected frequency.

Thank you for supporting Big Bend Community College!

Big Bend Community College Foundation is a 501(c)3 non-profit organization registered with the IRS Tax ID 23-7275328. All contributions are tax-deductible to the extent permitted by law.

2027 Employee Giving Form: Family Campaign

Your participation makes a lasting difference!