Employee Giving Form

Please don't fill out this input box.

Name (First, Last) *

Email address*

By submitting this form I authorize Western Nebraska Community College to withhold the following amount from my wages each payroll period as my gift to the WNCC Foundation: *

This gift begins on what date?*

Your recurring gift will continue until*

This authorization will remain in effect until canceled by me in writing.

I would like to end my gift after _____ months.

If you selected to end your gift after so many months, please type an end date.

I prefer to remain anonymous for this gift. *

Yes

Please apply my gift as follows:*

Greatest Need Fund – flexible funding, which allows us to direct fund to make the greatest impact.

Other – please specify below.

If you selected other, please specify.

Please select all that apply:*

I would like to receive newsletters and other mailings.

I am an alum of WNCC.

I would like to receive information on gifts of appreciated assets (stocks, real estate).

I would like more information on creating a named scholarship.

I would like to include WNCC in my will or trust.

I would like information on possible matching gifts programs.

WNCC is already a part of my estate plan.