Payroll Deduction Request Form
Staff Email
Add email CC
Phone or Campus Extension Number
Employee ID
Staff Full Name
Payroll Deduction Option
Please select...
Add New Deduction
Update Current Deduction
Cancel Deduction
Deduction Frequency
Monthly
One Time
Amount
Designation: Where would you like to give?
Please select...
Where Needed Most
Student Fund
Student Emergency Fund
Bruin Community Pantry
Scholarship
Other
Which scholarship would you like to give to?
Please select...
MaryKate Morse Seminary Scholarship
Mark Selid Accounting Scholarship
Dwight Kimberly Science Scholarship
Javier Garcia Honors Scholarship
Other
Other Designation:
Add related details here
Payroll Start Date
Note: Deductions are coordinated with Payroll. Contact Advancement Operations with any questions.
Other Comments
I agree to the following payroll statement:
I authorize George Fox University to begin payroll deductions as indicated from my employment earnings.
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Contact Information