Employee Giving Sign Up
Please complete the form below to sign up for Employee Giving
Employee Name
*
First Name
Last Name
Employee Department
*
Employee ID
*
ID # is on the inside of your badge
BCH Email
*
example@example.com
I would like to:
*
Please Select
Donate with a bi-weekly payroll donation
Donate with a one-time payroll deduction
Donate PTO
Donate by cash or check
Recurring donation amount
Please Select
$2.50
$5.00
$7.00
$10.00
$15.00
$20.00
One-time Amount
Number of PTO Hours
I would like to donate to the following BCH Foundation Fund
Please Select
Employee Emergency Assistance Fund: Providing Support to BCH employees experiencing unforseen financial hardship
Greatest Need Fund: Supports the day-to-day funding needs of BCH
Other
I would like to donate to the following BCH Foundation Fund
*
Employee Emergency Assistance Fund: Providing Support to BCH employees experiencing unforeseen financial hardship
Greatest Need Fund: Unrestricted gifts provide flexible funding that allows us to respond where help is needed most
Anchor Point Mental Health Endowment: Provides access to mental health care for individuals who might not otherwise receive it
Geriatrics: Supports the development of a dedicated BCH Geriatric Care Clinic
Heart to Heart Fund: Provides financial assistance to cardiac patients
B-Strong Center for Integrative Care: Supports cancer care through massage therapy, acupuncture, lymphedema care, and more
Red Lipstick Fund: Offers financial assistance to cancer patients receiving care at BCH
Other Fund
Signature
*
I understand by submitting this form I am authorizing Payroll and the BCH Foundation to process my request and donate the amount selected above to the selected BCH Foundation fund.
I have already received my BCH Foundation Lanyard
*
Please Select
Yes
No, please interoffice mail it to me
Continue
Continue
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