Faculty and Staff Payroll Deduction form
Faculty and Staff Payroll Deduction Form
Please note: Providence College operates on a fiscal year from July 1 - June 30. All gifts are tax deductible.
First Name:
required
Last Name:
required
Campus E-mail:
Campus Phone Ext.
required
Department:
required
Banner ID
I wish to:
Pay period
Please indicate the amount you would like deducted each pay period.
For a total gift amount of (if enrolling indefinitely, leave blank)

Leadership annual gifts at the $1,917+ level ($500+ for alumni 6-10 years after graduation, $100+ for alumni within 5 years of graduation) are recognized by membership in the St. Dominic Society.

I authorize Providence College to withhold the above amount per pay period for a duration of:
This is:
I would like to give to:




If you selected 'Other' or 'Scholarship' (or both), please enter the fund or scholarship name here.
My spouse works for a company which will match my gift. 
Company Name:
Please send your matching gift form to Gift Processing, Harkins 412 or email it to matchinggifts@providence.edu.