Faculty and Staff Giving Payroll Deduction Donation Form

Faculty and Staff Giving Payroll Deduction Donation

Thank you for your generosity and confidence in Georgia College! Because of your partnership, our academic excellence and programmatic innovations are creating bright, accomplished Bobcats. YOU are making it possible for our students to follow their passion and find their purpose.

Please fill out the information below. Once you press submit, you will need to verify all the information is correct and sign your payroll deduction.

If you need help with this form, or have questions, call us at (478) 445-5400.

Payroll Deduction

Please take a moment to review your most recent pay statement and advise us about your payroll deduction*

I would like to start making a payroll deduction contribution each paycheck I am currently contributing to GC via payroll deduction and would like to change and replace the contribution amount I would like to make a one-time contribution from my paycheck I would like to end my payroll deduction contribution

I would like to make a payroll deduction:

One time Bi-weekly Monthly

in the amount of* $

I authorize Payroll Services to deduct these payments from my paycheck

I would like to change my existing amount and replace it with a contribution of* $

I would like to add another contribution of ___ per paycheck* $

Gift Designation

Heritage Fund for student support.
Legacy Fund to fund scholarships for first-generation college families.
GC Family Fund to fund scholarships for Georgia College’s employees’ children and grandchildren.
Specify a Department or Program you wish to donate to if you do not see a department or program listed please choose other to specify a department or program.

Heritage Fund* $

Please enter the amount you wish to donate

Legacy Fund* $

Please enter the amount you wish to donate

GC Family Fund* $

Please enter the amount you wish to donate

Specify Department or Program*

Please select from this drop down list a department or program

Other

Amount $

Specify Department or Program 2*

Please select from this drop down list a department or program

Other 2

Amount 2 $

Payroll Deduction

Gift Designation

Your Information