Employee Giving – Payroll Deduction

Thank you for helping support students at Lake Superior College through your generous contributions to the LSC Foundation. Our students are grateful, and so are we.
Name * Required
First Last
Employee ID * Required
Birthday - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Division
Department * Required
Position * Required
Office Extension * Required
Work Email * Required
Enter Email Confirm Email
Home/Cell Phone * Required
Personal Email * Required
Enter Email Confirm Email
Home Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I want my gift to support * Required
- LSC Foundation (Greatest Need Fund)
- Other
- Multiple funds. Please split my gift between/among these funds
Other * Required
Please tell us what you would like to support.
List Funds * Required
My contribution * Required
- Is a new contribution
- Is a change to my existing contribution
Amount I want to contribute per pay period * Required
Change my contribution to this amount per pay period * Required
Additional Information * Required
- I am interested in finding out more about establishing a scholarship in a specific area.
- I have other questions
Other questions * Required
Please tell us your questions
Signature * Required
I understand my payroll deduction will continue until I choose to end my contribution or I am no longer employed with the State of Minnesota.