2016 Employee Giving Campaign Payroll Deduction Form

New for 2016, this electronic webform will allow employees who are interested in contributing by payroll deduction to the Jefferson College Education Foundation to do so simply by completing the form below. This form needs to be completed by November 4, 2016 to allow deductions to begin with the first paycheck in November. If you are currently using payroll deduction for your charitable gift, please complete the form below to continue your deduction. If you have any questions contact Erik Williams at ewwilliams@jchs.edu or 540.224.4644. Thank you for your support of Jefferson College!

2016 Giving Levels

Jefferson Society
    $10,000+

Hugh Trout Society
    $5,000-$9,999

Reid Society
    $1,000-$4,999

Fralin Society
    $500-$999

Leadership Circle
    $250-$499

Scholars Circle
    $100-$249

Friends
    $1-$99

By submitting the form below, you authorize Carilion Clinic to deduct the requested amount from your paychecks beginning in November, 2016.