Benedict College Faculty and Staff Payroll Deduction Form Learn More Visit Apply Payroll Deduction Form Check one of the following: Faculty/Staff BC Alumni - Faculty/Staff Class Year Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Department* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email Please specify how you would like your donation/pledge distributed below:BC Annual GivingAnnual Giving Athletics Charter Day Endowed Scholarship Please select the Endowed Scholarship you wish to donate toBenedict College Endowed FundGeneral ScholarshipsBest of BC Scholarship FundFinish Line Scholarship FundGroove Endowment FundOther Endowed Scholarship which is not listed (please specify) OtherUNCF United Way Other If Other, please specify Restricted for Total $0.00 My donation will be paid by:* Cash Check Payroll Deduction Credit Card Please start my payroll deduction as of* MM slash DD slash YYYY Please deduct this amount per pay period:*Please continue my payroll deduction:* until donation/pledge amount has been reached. indefintely. I will notify HR to discontinue deductions. Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name SignatureCAPTCHA