Centerstone Employee Giving - Payroll Deduction

DURATION AND GIFT AMOUNT OF PAYROLL DEDUCTIONS (click duration then select an amount). All deductions begin the next available paycheck.*

One time deduction (first paycheck in January 2023)

Other Amount:

AMOUNT TO BE DONATED PER PAYCHECK - Choose the amount you wish to donate per paycheck (your annual gift total is shown).

Other Amount Per Pay

WHERE I WOULD LIKE MY DONATION TO BE USED (click and choose one):*

Changing Lives Together Fund (Area of Greatest Need)

CARES Fund (direct client assistance)

Military Services

Endowment

Other Restriction (state/program)

NAME (as listed with HR):*

First Name Last Name

HOW I WOULD LIKE TO BE RECOGNIZED (if different than NAME above, i.e. Robert vs Bob or adding spouse name):

ADDITIONAL OPTIONS:

CENTERSTONE STAFF ID (available in Workday):*

EMAIL FOR CONFIRMATION:*

I AM BASED/LOCATED IN THIS STATE (click and choose one):*

My base/location state:

Thank you for making a difference in our clients' lives by giving!

Name

This field is for validation purposes and should be left unchanged.

Centerstone Employee Giving – Payroll Deduction