Employee Giving Payroll Deduction Form

Thank you for choosing to support our TCC community. As a member of the TCC family, your dedication helps to shape the lives of our students and ensure the vitality of the College. Large or small, every gifts counts. Thank you for making a difference.
This form authorizes TCC to direct the amount listed below (per pay period) to the TCC Educational Foundation.
You may stop your payroll deduction at any time by contacting Ariole Taylor in the TCC Educational Foundation at 757-822-1647.
Gifts to the TCC Educational Foundation are tax deductible to the extent permitted by law.
Name * Required
Prefix First Middle Last
TCC email address * Required
Enter Email Confirm Email
TCC phone number * Required
Department * Required
Campus * Required
Home Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
I have an existing payroll deduction: * Required
- Yes
- No
I wish to change my donation to the amount entered below per pay period. * Required
I wish to donate the amount entered below per pay period. * Required
Designation * Required
- TCC Fund (Your donation will be used for the area of greatest need.)
- Other
Tell us where to designate your donation. (Type "TBD" if you are undecided). * Required

The Educational Foundation will call you within 2 business days of your submission to discuss designation options.
Start Date - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
Please take a moment to tell us why you support the TCC Educational Foundation.
Signature * Required
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