The mission of the Oxnard College Foundati
on is to provide support for campus development, student
scholarships, educational programs, and other college needs in order to promote the progressive and
continuing advancement of Oxnard College, to further educational excellence, and to enable the
college to serve as an exemplary multi-cultural community resource.
VCCCD EMPLOYEE GIVING FORM
PAYROLL DEDUCTION EMPLOYEE INFORMATION
VCCCD EMPLOYEE NO.:
NAME:
ADDRESS:
HOME PHONE:
WORK PHONE:
DONATION DESIGNATION
I would like to designate my gift to the following:
Oxnard College Foundation (OCF) Scholarship Fund All scholarship donations will be matched dollar for dollar.
If you would like to donate to an existing OCF scholarship fund, please specify the name below:
Oxnard College Academic Senate Faculty Project
Please specify project:
Other Donation to Oxnard College programs or activities.
Please specify program or activity:
PLEDGE INFORMATION
PAYROLL DEDUCTION PLAN
In consideration for vital education services sponsored by the Oxnard College Foundation, I would like 100% of my
contribution to go directly to the Oxnard College fund, project, program or activity indicated above. My gift is
indicated below:
My monthly pledge is:
$5 $15 $25
$20
Other:$ _____________
Total Yearly Gift (monthly x 12):
NON-PAYROLL ONE-TIME GIFT: You may send a check or make a credit card payment with your one-time donation.
My one-time donation is:
$______________
If you wish to may with a Credit or Debit Card, please fill out the following information. (We can also take your
payment over the phone)
Credit Card Number: ______________________________ Expiration Date: _____________ CVV: ___________
Name as it appears on the credit card: _______________________________ Billing Zip Code: ______________
I hereby authorize the Ventura County Community College District to withhold from my monthly payroll warrant the amount indicated above and send
the sum to the Oxnard College Foundation. I understand that this authorization will remain in effect until further notice unless terminated by me on
thirty day written notice to the District Payroll Office and the Oxnard College Foundation.
Signature: ____________________________
Date:
Thank you for your generous donation!
$10
*Please print and forward the completed, original form to the Oxnard College Foundation for processing. For more information on the Oxnard College
Foundation, please call (805) 678-5889, fax (805) 678-5989, or email at berenice_rodriguez1@vcccd.edu. Your charitabl
e gift qualifies for 100% federal tax
benefit from Oxnard College Foundation, a 501(C)(3) non-profit corporation: Federal Tax ID #77-0003378.
click to sign
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