CAMPUS CARES
Name SPSCC Email
Address
Amount/Pay Period
Program/Fund
Signature Date
*Your signature is required to authorize/discontinue/change payroll deductions. You may change or stop payroll deduction anytime with a written request
the SPSCC Foundation. The changes will be implemented on the next possible paycheck.
For questions or address changes, please contact the Foundation:
(360) 596-5430/foundation@spscc.edu. Thank you!
CampusCaresForm|ver1_2019
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