Pearl River Community College
Development Foundation
2018 – 2019
By completing this form, you will help your
Development Foundation provide funds for:
*Student Scholarships
*Faculty Development
*Faculty & Staff Appreciation Dinner/Service Awards
*Endowment
Payroll Deduction Authorization for PRCC Development Foundation
(TO BE COMPLETED ONLY FOR NEW DEDUCTIONS OR CHANGES TO EXISTING DEDUCTIONS)
(CONFIRMATION MUST BE MADE THROUGH PAYROLL OFFICE.)
I hereby authorize a deduction of $________ per pay period to be transferred to the
Pearl River Community College Development Foundation.
Payroll Deduction Suggestions:
$84 per month or $1,000 per year for Lead Donor Recognition by the Foundation
$50 per month or $600 per year for Employee Gold Recognition
$25 per month or $300 per year for Employee Maroon Recognition
$10 per month or $120 per year for Employee Wildcat Recognition
PLEASE PRINT OR TYPE:
Social Security #
Name of Employee
_________________________________________________________________
Address
Are you an alumnus of PRCC? __________ Years employed with PRCC __________
Signature of Employee
Date
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