2025 Annual Support - Staff Pledge Form

2025 Annual Support - Staff Pledge Form

Employee-Elect Payroll Deduction
Employee ID Number*
Giving to the Y will help us continue to empower, imporove, inspire, and encourage our communities. Please consider making a gift to support our Y.
Full Name*

First NameLast Name
Primary Email*
example@example.com
Default Location*
YesNo
YMCA of Central Ohio Greatest NeedCommunity Center and Camp OperationsHousing & Shelter ServicesYouth & Family Services
Please select a Community Center or Camp to designate your gift to.*
Please select a housing program to designate your gift to.*
Please select a youth and family program to designate your gift to.*
There are 2 options for giving to the Y:

1. Joining the Hourly Club, which is a commitment to donate at least 1 hour's worth of pay per pay period to the YMCA's Annual Campaign. - Last day to receive a jacket was 1/31

2. Entering a set amount you'd like to give per pay period.

*There are 26 pay periods in 2025.
Joining the Hourly ClubGiving a set amount
What amount would you like to give per pay period?*
$ Dollars
What amount would you like to give per pay period?*
$ Dollars (At least your hourly rate)
When should your deductions begin?*

MonthDayYear
Select an upcoming 2025 pay date. Annual campaign deductions will be pulled each pay period of the 2025 calendar year.
Your total gift will be:
$ Dollars (per pay x remaining 2025 pays)
Thank you for joining Hourly Club! What is your jacket size?*
Please recognize me as (if different than Full Name above):
Additional Comments
(i.e. please split my gift between [fund 1] and [fund 2])
By signing below, you authorize the YMCA of Central Ohio to deduct ${whatAmount}{whatAmount30} per pay beginning {whenShould} through 12/31/2025 as a charitable contribution to the designation you selected, for a total gift of ${yourTotal}, to be pulled each pay period of the 2025 calendar year. You acknowledge that this gift is for 2025 operations. Changes to your pledge can be made by emailing development@ymcacolumbus.org at least one week before payday.
Yes, entered by staff champion
Pledge Form Upload*

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Signature*

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Today's Date

MonthDayYear
Date
Final Pay Date

MonthDayYear
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