Give-Employee Pledge Form-Payroll Deduction

Personal Information

The name you provide will appear on your charitable donation receipt and on any public recognition of your gift.

Employee ID#

Title

First Name

Last Name

Home Address

City

Province

Postal Code

Personal Email

Phone

I prefer to remain anonymous

By checking this box, your name will not be included in any public recognition.

Please direct my gift to:

I want to donate through the Saskatchewan Polytechnic Payroll Deduction Program

(Please select one)

**Please note deductions are made the first pay period of each month. Payroll donation will be noted on T4.

Would you like to talk to someone about leaving a bequest to Sask Polytech?

THANK YOU FOR MAKING A DIFFERENCE IN THE LIVES OF OUR STUDENTS!

Saskatchewan Polytechnic Official Charitable # 10795-7540-RR0001

This personal information is being collected under the authority of The Saskatchewan Polytechnic Act, 2014, and is protected by The Local Authority Freedom of Information and Protection of Privacy Act. The information is used only for administrative and statistical purposes by Sask Polytech or persons authorized by Sask Polytech who require it to perform their duties under the Act, for the purposes of determining your eligibility for donor and/or alumni benefits, and to administer donor and alumni operations. If you have any questions about the collection or use of this information, please contact the Saskatchewan Polytechnic Privacy Head at privacyhead@saskpolytech.ca.