Employee Donation Thank you for helping LSC students with your gift to the Lake Superior College Foundation. Please complete this form so we can honor your wishes correctly. The Foundation maintains a separate donor database from other systems at the college. Your information is confidential and is used for acknowledgement/tax receipting purposes. Please contact the Foundation team if you have any questions about this form or your gift. Name * Required First Last 8-Digit Employee ID (not StarID) * Required Birthday MM slash DD slash YYYY Position * Required Office Phone * Required Work Email * Required Enter Email Confirm Email Mobile Phone * Required Personal Email * Required Enter Email Confirm Email Home Address * Required Street Address Address Line 2 City State ZIP / Postal Code I want my gift to support * Required The LSC Foundation’s Greatest Need Fund (the volunteer board of directors annually distributes these unrestricted funds across several initiatives and needs) Any Student, Any Program Scholarship Fund Student Emergency Aid grant program Campus Food Pantry Summer Camps Other Other * RequiredPlease tell us what you would like to support.My contribution * Required Is a new payroll deduction contribution Is a change to my existing payroll deduction contribution Is a one-time online gift (Please pay with the PayPal link provided after submitting this form) Is a one-time gift (please drop off cash or check to the Foundation office S205) Amount I want to contribute per pay period * Required Change my contribution to this amount per pay period * Required Other instructions or questions * RequiredPlease tell us your instructions or questions hereSignature * RequiredI understand my payroll deduction will continue until I choose to end my contribution or I am no longer employed with the State of Minnesota.
