Employee Campaign

Johnston Community College Foundation Payroll Deduction

Johnston Community College Foundation, Inc. is a 501(c)(3) nonprofit organization. Contributions are tax-deductible as allowable by law.

By entering and submitting your information you hereby grant Johnston Community College Foundation, Inc. permission to deduct contributions from your pay as indicated per the form below.

**Please note, a minimum contribution of $1.00 per month is required to process a Payroll Deduction submission.**

For more information, contact:

Johnston Community College Foundation, Inc.
(919) 209-2222
P.O. Box 2350
Smithfield, NC 27577
www.johnstoncc.edu/employeecampaign
jccfoundation@johnstoncc.edu
Wilson Building, Institutional Advancement Suite

*Required - Today's Date

*Required - Last 4 digits of your JCC Employee ID

*Required - First Name

*Required - Last Name

*Required - Complete Mailing Address (Include Unit/Apt# if applicable)

*Required - Email Address

*Required - Primary Phone Number (919) 222-2222

*Required - Primary Phone Number Type

Home

Cell

Work

*Required - The Payroll Deduction form is a:

New submission

Additional submission

Update to a previous submission

Other

If you selected Other above, please explain:

Please list the amount you would like deducted monthly and when you would like the deduction to begin.

*Required - Date you would like the deduction to begin:

*Required - Please direct my contribution to the following fund(s):Greatest Need - Investing in Bright Futures Annual Fund Supporting the greatest needs of students, faculty, staff, and alumni Scholarships – Supporting students with annual scholarship awards Learning and Technology – Building an exceptional learning environment Leadership – Expanding student leadership programs Student Emergency Support – Supporting the critical needs of students impacted by a crisis Other

If you selected Other above, what Fund would you like your contributions made to?

Check all that apply:I would like information on how I can make a greater impact at JCC by establishing an annual scholarship or endowment. I would like information on creating a legacy at JCC through planned giving options. I/My spouse works for a company that would match my gift. Do not send me acknowledgments for my gift. This is an anonymous gift and I do not want to be recognized for my support. I completed a course at JCC and I would like to join the JCC Alumni Association with my gift. I would like my name listed on the virtual donor wall (Only your name will be shared).

Have you ever taken a course at JCC?NoI have attended JCC in the past and I would like to join the JCC Alumni Association with this gift I would like my name listed on the Virtual Donor Wall (Only your name will be listed)

Employee Campaign Application