Change a Payroll Deduction

Name*

First Last

Employee ID*

Email*

I would like to:*

Enter Amount Per Pay Period*

This deduction will continue until we are notified that you would like your deduction to terminate. To terminate, please use the "stop a deduction" form.

Gift Designation*

Best Use
Smart Future Scholarship
Scholars of Promise
Give to an Existing Scholarship
Other

Enter Scholarship Name

Enter Other Designation

Notes

Please Check to Confirm*

I authorize Madison College Foundation make these changes on my behalf.

Signature (type your full name)*