SJECCD Employee Payroll Deduction
Thank you for giving to the SJECCD Foundation! Your donation makes a huge impact on the lives of our students! 

Your gift is deductible to the extent allowable by law. The San Jose/Evergreen Community College District Foundation is a 501(c)(3) public benefit corporation. 

Tax I.D. No. 94-2877474. For more information, please contact the Foundation at 408.918.5144 or foundation@sjeccd.edu

You will receive a confirmation of your pledge via email in 3-5 business days and a copy will be sent to payroll.  Thank you for your support!

** The SJECCD Foundation will charge a 3.5% administrative fee on all accounts annually. **
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Email *
Name *
Employee Number *
Home Address *
Phone Number
Affiliation *
Pledge Information *
Designation Fund #1 *
Designation Fund #2
Designation Fund #3
Please indicate any additional funds you would like to donate to here.  (If you'd like to give to more than three).
Please indicate how much you would like to pledge to each fund per pay period.  [For example: Student Emergency Fund (SJCC & EVC) - $20, Greatest Needs - $15, Other Scholarship (Insert Scholarship Name) - $10] *
Date Effective *
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I authorize an annual pledge as indicated above through a payroll deduction per pay period, as a tax deductible donation to the SJECCD Foundation fund noted above.  This authorization will remain in effect until I notify Payroll in writing of a change. *
I authorize the action indicated on this form with my virtual signature.  Please type your full name. *
Date Signed *
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DD
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YYYY
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