H o u s t o n
I n d e p e n d e n t
S c h o o l
D i s t r i c t
2016 Combined
Charities Campaign
Making the
Difference
October 5 – October 30, 2015
Every Dollar You Give Will
Make a Difference!
On October 5, we kick off our annual Combined Charities Campaign, which
continues through October 30. This is a great opportunity for HISD employees
to come together in support of a wide variety of local, state, national, and global
nonprofit organizations. The generosity of everyone here at HISD is impressive
all year round – it’s evident in all the ways, both big and small, that you share
your time, expertise, and resources with those in need. In past years, Combined
Charities Campaigns have resulted in hundreds of thousands of dollars being
contributed to meaningful and worthy causes. These contributions make a
sizable impact, both in Houston and around the world.
The organizations included in the Combined Charities Campaign provide a broad range of services –
help for families suffering economic hardships or recovering from natural disasters, global education,
health care, social justice initiatives, and environmental projects aimed at keeping our planet safe and
healthy for our children and generations to come. Everyone will be able to find an organization in this
campaign that serves a cause close to their heart.
Making a contribution has never been simpler. The online payroll-deduction pledge system makes it
easy to contribute and ensures your privacy. If you have any questions, please contact your Combined
Charities Campaign coordinator, who can help you understand how the campaign works and how to
navigate the online system.
Individually, we may not feel like we can do all that much, but when combined, our resources can change
the world for the better.
Thank you for your generous participation.
Terry B. Grier, Ed.D.
Superintendent of Schools
How To Contribute—Easy As 1-2-3
1
Select Charity
2
Select a charity for donations by clicking on the charity’s name. The charity will appear in a list box for your review. You may
select as many as you like. To make your pledge, click “Continue.”
Payment Options
You will be able to view your selected charities. Please note: Only charities with contribution amounts will be recorded
and processed.
Pledge/Payment: Select one of the two payment options in the drop-down box for each charity to which you wish to
contribute. The amount should be entered in whole dollars with no dollar sign or decimals.
There is a minimum donation of $2 (two dollars) for each payment option.
• 26-Payroll Deductions (Option-1)
By selecting this option, your donation will be deducted on every paycheck in the 2016 calendar year.
• One-Time Payroll Deduction (Option-2)
By selecting this option, your full donation will be deducted on your 1/13/16 paycheck
(or the payday containing your first earnings of 2016).
• Pledge Amount
Place the amount you wish to contribute in the “Amount” box. Your pledge amount is calculated once you click “Update.” A “Grand Total” is calculated at the bottom of the page.
• No checks or cash are accepted
3 Review and Submit
Confirmation/Receipt
• “I would like a confirmation e-mail sent from HISD.” Check this box to receive an e-mail confirmation from HISD.
• “I would like a confirmation receipt mailed to me from the charities listed above.” Check this box to receive an acknowledgement from the federation handling payment to your selected charities. Click on “edit address”
to update your address.
Submit Donations
• Review pledge form and click the “Submit Donations” button. You will automatically see a confirmation page to
confirm your participation.
Note: If you choose not to contribute to the campaign, please select the specified check box on the CCC home page. This information is kept confidential and will not appear in
any reports. It is used solely to ensure that all employees have been given the opportunity to participate.
HISD Combined Charities Campaign Website
To access the HISD Combined Charities Campaign website:
n HISD website homepage (www.HoustonISD.org)
n Tab over to Directory, scroll down to More
n Under category “S” choose Strategic Parnterships
n Select Combined Charities Campaign on the left hand side of the page
The following is a list of federations and the charities they support.
To make your charitable contribution, use the federation or individual charity code from below as directed on the online pledge form. If you have any questions
about the campaign or pledge form, contact your Combined Charities Coordinator.
0000 HISD Foundation
The HISD Foundation supports
education in the largest public
school district in the state and
the 7th largest in the nation.
The HISD Foundation partners
with the district to secure private
support manage funds and
provide donor accountability. The
Foundation’s fundraising efforts
focus on institutional priorities
set by the superintendent of
schools and board of education.
Funds raised by the HISD
Foundation provide resources to
advance the core initiatives of the
district’s Strategic Direction. The
Foundation is a separate 501(c)(3)
nonprofit governed by a volunteer
board of business, community
and philanthropic leaders.The
Foundation’s core programming
is aligned with the district’s
Strategic Direction and five core
initiatives: Effective Teacher in Every
Classroom, Effective Principal in
Every School, Rigorous Instructional
Standards and Supports, DataDriven Accountability and Culture of
Trust through Action.
0000 HISD Foundation
0004 HISD Foundation Student
Scholarship Fund
0100 Earth Share of Texas
One gift supports the work of all
participating charities working to
protect natural resources, public
health and quality of life.
0101 African Wildlife Foundation
0102 American Farmland Trust
0103 American Forests
0168 American Rivers
0195 Arbor Day Foundation
0106 Audubon Foundation of Texas
0184 Austin Parks Foundation
0115 Austin Youth River Watch
0180 Bat Conservation International
0107 Bayou Preservation
Association
0131 Beyond Pesticides
0151 BikeTexas Education Fund
0198 Blackland Prairie Raptor
Center
0124 Buffalo Bayou Partnership
0109 Center for Maximum Potential
Building Systems, Inc.
0185 Children’s Environmental
Health Institute
0111 Citizens’ Environmental
Coalition
0112 Clean Water Fund of Texas
0128 Coastal Bend Bays Foundation
0155 Conservation Fund, The
0113 Conservation International
0114 Defenders of Wildlife
0186 Earth Day Network
0148Earthjustice
0100 EarthShare of Texas
0117 Ecology Action of Texas
0118 Endangered Species Media
Project
0119 Environment America
Research and Policy Center
0120 Environmental and Energy
Study Institute
0121 Environmental Defense Fund,
Texas Office
0122 Environmental Law Institute
0182 Friends of Big Bend National
Park
0123 Friends of the Earth
0192 Galveston Bay Foundation
0197 Greater Edwards Aquifer
Alliance
0194 Guadalupe-Blanco River Trust
0187 Hill Country Conservancy
1099 Houston Advanced Research
Center
0127 Izaak Walton League of
America
0196 Jane Goodall Institute for
Wildlife Research, Education
and Conservation
0171 Katy Prairie Conservancy
0129 Land Trust Alliance
0130 National Audubon Society
01A0National Fish and Wildlife
Foundation
0132 National Parks Conservation
Association
0134 National Wildlife Federation
01A3National Wildlife Federation/
South Central Regional Center
0135 Natural Resources Defense
Council
0156 Nature Conservancy of Texas
0193 Ocean Conservancy
01A1Oceana Inc.
0172 Peregrine Fund, The
0137 Pesticide Action Network
0139 Public Citizen of Texas
01A4Rails to Trails Conservancy
0141 Rainforest Alliance
0143 Rocky Mountain Institute
0189 San Marcos River Foundation
0145 Save Barton Creek Association
0190 Scenic America
0147 Sierra Club Foundation
Texas Chapter
0149 SPARK School Park Program
0188 State of Texas Alliance for
Recycling (formerly Recycling
Alliance for Texas)
0174 Surfrider Foundation
0116 Sustainable Food Center
0177 Texas Campaign for the
Environment Fund
0136 Texas Parks and Wildlife
Foundation
0154 Texas Solar Energy Society
0160 TreeFolks, Inc.
0158 Trust for Public Land
0162 Union of Concerned Scientists
0159 Wilderness Society
0133 Wildflower Donor Inc. (Lady
Bird Johnson Wildflower
Center)
0165 Wildlife Conservation Society
0179 Wildlife Rescue and
Rehabilitation
0167 World Wildlife Fund
0200 Global Impact
Global Impact is a not-for-profit
organization dedicated to helping
the poorest people on earth. Global
Impact represents more than 80
of the most respected U.S.-based
international charities in workplace
giving campaigns across the nation.
Each year, Global Impact and its
member charities touch more than
400 million lives in virtually every
developing country through disaster
relief, education, health training and
economic programs that promote
self-sufficiency.
0201 Accion International
0204Africare
0285 Albert B. Sabin Vaccine
Institute
02A1American Himalayan
Foundation
0206 American Jewish World
Service
0208 American Near East Refugee
Aid (ANERA)
0209 American Refugee Committee
0290 American Society of
Hematology
0210AmeriCares
0203 Amref Health Africa
02A2Ashoka
0211CARE
0214 ChildFund International
02A3Children International
0257 Church World Service
0263 Clinton Foundation
02A4Compassion International
0295 Counterpart International
0217 Doctors Without Borders
Médecins Sans Frontières USA
0258ECHO
02A5EngenderHealth
02A6Episcopal Relief &
Development
0219 FINCA International
0220 Freedom from Hunger
0200 Global Impact
02A7Global Partners in Care
0296 Handicap International
0221 Health Volunteers Overseas
0222 Heifer International
0254 Helen Keller International
02A8HIAS
0297 International Center for
Research on Women (ICRW)
02A9International Executive Service
Corps
0224 International Eye Foundation
02B1 International Medical Corps
0246 International Orthodox
Christian Charities (IOCC)
0242 International Relief Teams
0226 International Rescue
Committee
0262 International Youth
Foundation
02B2 Kickstart International
0227 Lutheran World Relief
02B3 Made In a Free World
02B4 MAP International
02B5 Medical Teams International
02B6 Medicines for Humanity
0249 Mercy Corps
0228 Near East Foundation
0299 Operation Smile
0229 Opportunity International
0230 Oxfam America
0266Pact
0280 Pan American Development
Foundation
02B7 Partners In Health
0261PATH
0253 PCI-Media Impact
0245 Plan International USA
0235 Project HOPE
02B8 Refugees International
0247 Rotary Foundation of Rotary
International
0250 Salvation Army World Service
Office (SAWSO)
0236 Save the Children
02B9 SEE International
02C1SightLife
02C2Sightsavers International
0270 SOS Children’s Villages- USA
02C3Stop Hunger Now
0255TechnoServe
0237 UNICEF, The U.S. Fund for
0238 Unitarian Universalist Service
Committee
0251 United Methodist Committee
on Relief (UMCOR)
0239 United Seamen’s Service
0275 Water For People
0265 Women for Women
International
0241 World Relief
0256 World Renew
0248 World Vision
0400 America’s Charities
Working to build strong
communities. Addressing needs
of children, families, communities
through member programs, by
helping employers and employees
support our member charities’
programs.
0400 America’s Charities
04A3Animal Trustees of Austin
0444 Breast Cancer Resource
Centers of Texas
0448 Cancer Research and
Prevention Foundation
(Prevent Cancer Foundation)
0433 Caring for Children
Foundation of Texas, Inc.
0451 Children’s Miracle Network
Hospitals
0483 Diabetes Research and
Wellness Foundation
0415 Foster Care To Success
Foundation
0410 Give Kids The World
0488 Hole In The Wall Gang Fund
0414 Make-A-Wish Foundation® of
America
0423 Native American Rights Fund
04A7Ovarian Cancer Research
Fund
0486 PetSmart Charities, Inc.
0499 Reading Is Fundamental, Inc.
(RIF)
0465 Ronald McDonald House
Charities®
0438 Tuberous Sclerosis Alliance
0489 VSA arts of Texas
0500 Thurgood Marshall College
Fund
A national organization providing
access to scholarships and
programmatic support for 300,000
students attending 47 public
historically black colleges and
universities, many of which are firstgeneration college students.
0501 Alabama A&M University (AL)
0502 Alabama State University (AL)
0503 Albany State College (GA)
0504 Alcorn State University (MS)
0545 Bluefield State College (WV)
0505 Bowie State University (MD)
0506 Central State University (OH)
0546 Charles R. Drew University
(CA)
0507 Cheyney University of
Pennsylvania (PA)
0543 Chicago State University (IL)
0508 Coppin State University (MD)
0509 Delaware State University (DE)
0510 Elizabeth City State University
(NC)
0511 Fayetteville State University
(NC)
0512 Florida A&M University (FL)
0554 Florida A&M University
College of Law (FL)
0513 Fort Valley State University
(GA)
0514 Grambling State University
(LA)
0547 Harris-Stowe State University
(MO)
0515 Howard University (DC)
0539 Howard University Law School
(DC)
0516 Jackson State University (MS)
0517 Kentucky State University (KY)
0518 Langston University (OK)
0519 Lincoln University (MO)
0520 Lincoln University (PA)
0544 Medgar Evers College (NY)
0521 Mississippi Valley State
University (MS)
0522 Morgan State University (MD)
0523 Norfolk State University (VA)
0524 North Carolina A&T State
University (NC)
0525 North Carolina Central
University (NC)
0540 North Carolina Central
University Law School (NC)
0526 Prairie View A&M University
(TX)
0527 Savannah State University
(GA)
0528 South Carolina State
University (SC)
0529 Southern University and A&M
College (LA)
0552 Southern University at New
Orleans
0553 Southern University at
Shreveport-Bossier City
0541 Southern University Law
School (LA)
0530 Tennessee State University
(TN)
0531 Texas Southern University (TX)
0542 Texas Southern University Law
School (TX)
0500 Thurgood Marshall
Scholarship Fund
0532 Tuskegee University (AL)
0533 University of Arkansas at Pine
Bluff (AR)
0534 University of Maryland,
Eastern Shore(MD)
0535 University of the District of
Columbia (DC)
0550 University of the District of
Columbia Law School (DC)
0536 University of the Virgin Islands
0537 Virginia State University (VA)
0548 West Virginia State University
(WV)
0538 Winston-Salem State
University (NC)
0549 York College (NY)
0600 United Negro College Fund,
Inc. (UNCF)
UNCF provides college scholarships
and other financial support so
that more than 60,000 deserving
students each year can get the
college education they need
and want but cannot afford.
Enhancing the quality of education
by providing financial assistance,
operating funds and increased
access for students and faculty...
because “A mind is a terrible thing
to waste.”® Ninety percent of
gifts given to UNCF are used for
scholarships to support students
attending HISD.
0641 Allen University (SC)
0602 Benedict College (SC)
0603 Bennett College (NC)
0604 Bethune-Cookman College
(FL)
0605 Claflin College (SC)
0606 Clark Atlanta University (GA)
0607 Dillard University (LA)
0608 Edward Waters College (FL)
0609 Fisk University (TN)
0610 Floria Memorial University
0611 Huston-Tillotson College (TX)
0612Interdenominational
Theological Center (GA)
0613 Jarvis Christian College (TX)
0614 Johnson C. Smith University
(NC)
0616 Lane College (TN)
0617 LeMoyne-Owen College (TN)
0618 Livingstone College (NC)
0619 Miles College (AL)
0620 Morehouse College (GA)
0622 Morris College (SC)
0623 Oakwood College (AL)
0624 Paine College (GA)
0626 Philander Smith College (AR)
0627 Rust College (MS)
0628 Saint Augustine’s College (NC)
0629 Saint Paul’s College (VA)
0630 Shaw University (NC)
0631 Spelman College (GA)
0632 Stillman College (AL)
0633 Talladega College (AL)
0615 Texas College (TX)
0634 Tougaloo College (MS)
0635 Tuskegee University (AL)
0600 UNCF-United Negro College
Fund, Inc.
0636 Virginia Union University (VA)
0637 Voorhees College (SC)
0638 Wilberforce University (OH)
0639 Wiley College (TX)
0640 Xavier University (LA)
0700-1500 United Way of Greater
Houston
We nurture children, create
strong families, sustain senior
independence, and support people
rebuilding their lives. United Way is
changing Houston for good.
0728 AccessHealth (formerly Fort
Bend Family Health Center,
Inc).
1502 Aid to Victims of Domestic
Abuse (AVDA)
0756 Alliance for Multicultural
Community Services
0701 American Cancer Society
0702 American Red Cross
Greater Houston Area Chapter
0704 AVANCE, Inc.—Houston
0705 Avondale House
0706 BACODA-Bay Area Council on
Drugs and Alcohol, Inc.
0707 Bay Area Rehabilitation Center
0779 Bay Area Turning Point, Inc.
0710 Big Brothers Big Sisters Lone
Star
0711 Boy Scouts of America—Sam
Houston Area Council
0780 Boys & Girls Clubs of Greater
Houston, Inc.
0764 Bridge Over Troubled Waters,
Inc.
0712 Career and Recovery
Resources, Inc.
0713 Catholic Charities of the
Archdiocese of GalvestonHouston
0765 Center for Hearing and
Speech
0714 The Center
0717 Child Care Council of Greater
Houston, Inc.
0718 Chinese Community Center
0719 Colorado Valley Transit, Inc.
0731 Community Family Centers,
Inc.
0738 Council on Alcohol and Drugs
Houston, The
0720 Crisis Intervention of Houston,
Inc.
0722 Denver Harbor Senior
Citizens, Inc.
0723 DePelchin Children’s Center
0770 Easter Seals of Greater
Houston
0740 Evelyn Rubenstein Jewish
Community Center of Houston
0724 Family Services of Greater
Houston
0725 FamilyTime Crisis and
Counseling Center
0726 Fifth Ward Enrichment
Program, Inc.
0727 Fort Bend County Women’s
Center, Inc.
0729 Fort Bend Regional Council
on Substance Abuse, Inc.
0730 Fort Bend Seniors Meals on
Wheels & Much, Much More!
0732 Girl Scouts of San Jacinto
Council
0733 Good Neighbor Healthcare
Center
0736 Houston Area Urban League
0737 Houston Area Women’s
Center
0784 Innovative Alternatives, Inc.
0739 Interfaith Ministries for Greater
Houston
0741 Jewish Family Service
0742 Julia C. Hester House, Inc.
0751 Legacy Community Health
Services, Inc.
0767 Lighthouse of Houston, The
0743 Literary Advance of Houston,
Inc.
0787 Local Initiatives Support
Corporation
0734 Lone Star Legal Aid
0745 Mental Health America of
Greater Houston
0749 Montgomery County Women’s
Center
0752 Montrose Center
0753 Multicultural Education and
Counseling Through the Arts
(M.E.C.A.)
0754 Neighborhood Centers, Inc.
0757 Salvation Army
0758 San Jose Clinic
0759 Santa Maria Hostel, Inc.
0785 SEARCH Homeless Services
0762 Spaulding for Children
0763 Star of Hope Mission
0782 Target Hunger
0700-1500 United Way of Greater
Houston
0771 University Speech, Language
& Hearing Clinic
0773 Volunteers of America Texas
0774 Wellsprings, Inc.
0775 Wesley Community Center,
Inc.
0769 Women’s Home
0777 YMCA of the Greater Houston
Area
0800 Local Independent Charities
of Texas
We share your gift among
local independent charitable
organizations helping children,
the poor, the ill, the disabled, the
elderly and others in need.
0803 AIDS Foundation Houston,
Inc.
0806 Angel Flight
0877 Animal Defense League of
Texas
0815 Arc of Greater Houston
0809 Arc of Texas
0891 Buckner Retirement Services
0869 Burn Survivors Throughout the
World
0894 Campus of Hope
0812 CanCare of Houston
0892 Center for Public Policy
Priorities
0854 Christian Community Service
Center
0856 Guide Dogs of Texas
0872 Harris County Drug Court
Support Foundation
0857 Helping Restore Ability
0873 Heritage Society
0821 Houston Hospice
0866 Houston SPCA
0895 Houston Symphony Society
0867 Houston Volunteer Lawyers
Program
0887 Jazz Walk of Fame, Inc
0800 Local Independent Charities
of Texas
0836 Lutheran Social Services of the
South
0889 Montgomery County
Homeless Coalition
0851 Northwest Assistance
Ministries
0874 Operation Homefront - Texas
0852 Planned Parenthood Gulf
Coast
0845 Planned Parenthood of
Greater Texas, Inc.
0843 Rose, The
0893 Shape Community Center Inc.
0811 Sight Into Sound
0890 Support Our Troops®, Inc.
Texas Chapter
0848 Tarrant Area Food Bank
0849 Texas Association Against
Sexual Assault
0886 Texas Council on Family
Violence
0875 Texas Hearing and Service
Dogs
0865 Texas Homeless Network
0881 TOMAGWA Ministries Medical
Clinic
0862 Write-Way Prison Ministries
0900-1000 Community Health
Charities Texas (CHC)
Help fight the devastating diseases
and chronic illnesses that affect
nearly every family in the HISD
community. CHC member health
agencies are the premier charities
in America, Texas and Houston,
working to find the cause, cure
and treatment for the diseases that
touch the lives of your loved ones.
Your gifts support medical research,
patient and family services, and
public and professional education.
Thank you for investing in the good
health of your loved ones!
0910 Ability Connection Texas
1013 AIDS Research Foundation
0909 ALS Association Texas
Chapter
1001 Alzheimer’s Association,
Houston & Southeast Texas
Chapter
0902 American Cancer Society
High Plains Division
1003 American Diabetes
Association Texas
1020 American Hearing Research
Foundation
0904 American Heart Association,
Inc. Southwest Affiliate
1021 American Kidney Fund
1049 American Liver Foundation
Texas
0953 American Lung Association in
Texas, Houston
1005 Arthritis Foundation, South
Central Region
0901 Autism Speaks
0950 Be the Match Foundation
1023 Cancer Research Institute
0925CaringBridge
0929 Cerebral Palsy International
Research Foundation
0930 Childhood Obesity - Alliance
for a Healthier Generation
0964 Children’s Bereavement
Center of South Texas, The
0905 Children’s Heart Foundation
0906 Children’s Tumor Foundation
0931 City of Hope
0932 Colon Cancer Alliance
0900-1000 Community Health
Charities of Texas
1014 Cooley’s Anemia Foundation
1006 Crohn’s & Colitis Foundation
of America, Houston Gulf
Coast, South TX Chapter
0913 Cystic Fibrosis Foundation
Texas Gulf Coast Chapter
0903 Depression and Bi-Polar
Support Alliance Greater
Houston
1007 Easter Seals Central Texas
1028 Endometriosis Association
1008 Epilepsy Foundation Central &
South Texas
0955 Huntington’s Disease Society
of America Texas Affiliate
0922 JDRF International, Houston
Gulf Coast Chapter
0923 Leukemia & Lymphoma
Society Texas Gulf Coast
0926 Lupus Foundation of America
Texas Gulf Coast Chapter
0927 March of Dimes Foundation
Texas
1051 Mental Health America of
Texas
1009 Muscular Dystrophy
Association Central States
1033 Myasthenia Gravis Foundation
of America
1034 NAMI Texas (National Alliance
on Mental Illness)
1035 National Council on
Alcoholism & Drug
Dependence (NCADD)
1038 National Hemophilia
Foundation
1018 National Hospice and
Palliative Care Organization
0954 National Kidney Foundation
Texas
1011 National Multiple Sclerosis
Society, South Central Chapter
0956 National Parkinson Foundation
0914 National Psoriasis Foundation
0907 Pancreatic Cancer Action
Network
0945 Parkinson’s Disease
Foundation
0915 Prevent Blindness Texas
0962 Sickle Cell Association
of Austin, Marc Thomas
Foundation
1054 Smile Train
09A8Snowball Express
0948 St. Jude Children’s Research
Hospital Texas
0958 Susan G. Komen Houston
1052 Texas Scottish Rite Hospital
for Children
0965 Transplants for Children
0916 Zero-The End of Prostate
Cancer
1200-1700 America’s Best
Charities (Independent
Charities of America)
Working to build strong
communities. Addressing needs
of children, families, communities
through member programs, by
helping employers and employees
support our member charities’
programs.
1252 Adoptable Children (North
American Council)
1725 Adoption Exchange
1726 Adoptions by Cradle of Hope
17G2Aid for Starving Children
12A1Alopecia Areata Foundation
National
1202 Alzheimer’s Research
Foundation-Fisher Center
1762 Alzheimer’s Foundation of
America
1763 Alzheimer’s Research and
Prevention Foundation
12A2American Association for
Cancer Research
17H5American Freedom
Foundation, Inc.
17H6American Humane Association
17C9American Indian College Fund
12A3American Sexual Health
Association
1200-1700 America’s Best Charities
(Indpendent Charities of
America)
17H8America’s VetDogs - the
Veteran’s K-9 Corps, Inc.
1214 Amigos de las Americas
17H9Animal Slaughter & Child
Starvation Stop Here!
12A4Anxiety, Depression, PTSD
and OCD Education and
Research Foundation
17J1 Armed Services Mutual
Benefit Association STAR
Foundation
1729 Autism Intervention and
Treatment Research
Organization for Autism
Research
17E0 Autism Society of America
1205 Autoimmune Diseases
Association
1744 Baptist Charities of America
1745 Baptist Children’s Home
Ministries
1793 Believe In Tomorrow National
Children’s Foundation
1225 Best Buddies for Children with
Mental Retardation
17H1Bethany Christian Services
12B1 Big Cat Rescue
17J2 Birth Defect Research for
Children, Inc.
1746 Boone and Crockett Club
Foundation
17N2Born Free USA: Keep Wildlife
in the Wild
17N3Brain Injury Association of
America
1208 Brain Tumor Association,
American (ABTA)
1780 Breast Cancer African
American, Sisters Network
1781 C.A.S.T. for Kids Foundation
1730 Cancer Coalition, The
National
1782 Cancer Curing Society
17N4Cancer Research America
NFCR
1747 Cancer Research and
Assistance - VHL
1783 Cancer Research Fund of
the Damon Runyon - Walter
Winchell Foundation
1748 Canine Assistants
1218 Canine Companions for
Independence
1206 Canines for Disabled Kids
1209 CASA–Court Appointed
Advocates for Abused
Children
17C2Catholic Relief Services
USCCB
17J3 Catholics For The Poor and
Needy Worldwide
71N5Celiac Central, National
Foundation for Celiac
Awareness
1765 Child Find of America
1261 Child Rescue International
1767 Childhood Brain Tumor
Foundation
17N6Children Awaiting Parents
17N7Children of Fallen Patriots
Foundation
17D0Children of the Night
17D1Children’s Cancer Recovery
Foundation
17D2Children’s Hospital & Research
Center Foundation
17D3Children’s Hunger Fund
1234 Children’s Medical Ministries
1751 Children’s Organ Transplant
Association
17J6 Christian Care International
Food and Medicine for People
In Need
17N8Cleft Palate Foundation
1268 Concerns of Police Survivors
(COPS)
1732 Conservation and Protection
of Public Lands
1750 Correctional Peace Officers
Foundation
17E6 Cure Alzheimer’s Fund
17N9Deaf Children’s Literacy
Project
1701 Delta Research and
Educational Foundation
1240 Diabetes Action Research and
Education Foundation
17I1 Direct Relief
1229 Disabled American Veterans
(DAV) Charitable Service Trust
17E7 Disabled Children’s Fund
17I2 Dogs Deserve Better Inc.
1283 Dogs for Disabled Americans
(NEADS)
17I3 Dogs for the Deaf, Inc.
17G4Domestic Violence Hotline,
National
1248 Educate the Children
17I4 EOD Warrior Foundation
1786 Equine Land Conservation
Resource
1230 FACES: The National
Craniofacial Association
1733 Family Violence and Sexual
Assault Institute
1277 Farm Animal Reform
Movement (FARM)
1797 Fisher House Foundation
17E8 Foundation for Ichthyosis &
Related Skin Types, Inc.
1735 FRAXA Research Foundation
17I5 Free to Breathe
17I6 Fund for Animals, The
1269 Giving Children Hope
17J8 Gluten Intolerance Group of
North America
17B0 Graves’ Disease and Thyroid
Foundation
17I7 Guide Dog Foundation for the
Blind
1770 Guide Dogs for the Blind, Inc,
1270 Guide Dogs of America
17A7Habitat for Humanity
International
1787 HawkWatch International
17J9 Help the Children
1753 Herbal Medicine Institute
1246 Hispanic Scholarship Fund
17I8 Holt International Children’s
Services
17C6Homes For Our Troops
1798 Hope For the Hungry
17E9 Hope For The Warriors
17C7Hospice Foundation for Endof-Life Care
1281 Hospice Foundation of
America
17B2 Humane Farm Animal Care
17I9 Humane Society of the United
States
17L1 In God We Trust Foundation,
Inc.
1256 India Partners
17D5Institute for Creation Research
17L2 K.I.D.S./Fashion Delivers, Inc.
1272 Kidney Cancer Research and
Education Association
1258 Leukemia Clinical Research
Foundation
17L3 Live Laugh Love Give, Inc.
17D6Lung Cancer Alliance
17L4 Lymphoma Foundation of
America
1260 Lymphoma Research
Foundation
17L5 Marine Corps -- Law
Enforcement Foundation
17L6 Marine Corps League
Foundation Inc.
17L7 Matthew 25: Ministries
1799 Methodist Mission Home
17L8 Mexican American Legal
Defense and Educational
Fund
17K2 Military Child Education
Coalition
17L9 Military Officers Association of
America Scholarship Fund
17G6Mr. Holland’s Opus
Foundation
17K3 Multiple Sclerosis, Can Do
1756 National Center for Missing &
Exploited Children
1297 National Children’s Advocacy
Center
17A2Operation Compassion
17K4 Operation Homefront
17A8Parkinson’s Research - The
Michael J. Fox Foundation for
Parkinson’s Research
17M1Pediatric Brain Tumor
Foundation of the United
States, Inc.
1789 PETA: People for the Ethical
Treatment of Animals
1772 PKD Foundation
1285 Public Employees for
Environmental Responsibility
1773 Rape, Abuse, & Incest
National Network (RAINN)
17A3Restless Legs Syndrome
Foundation
1204 Rocky Mountain Elk
Foundation
1790 Seeing Eye, Inc.
17B3 Semper Fi Fund
17M2Skin and Dental Dysfunction
Foundation
17F4 Skin Cancer Foundation
17M3Soldiers’ Angels
1774 Southeastern Guide Dogs
1719 Spay-Neuter Assistance
Program (SNAP)
17M4Special Forces Charitable Trust
1290 Special Olympics, Inc.
1720 Special Operations Warrior
Foundation
17D9Spinal Cord Injury Network
International
17K5 Spondylitis Association of
America
17F5 Suicide Awareness Voices of
Education
1262 Sunshine Kids Foundation
17C3Support our Troops
1250 Transplants, The National
Foundation for
17M5Travis Manion Foundation
1291 Vegan Outreach
17K6 Veteran Tickets Foundation
17C1Veterans of Foreign Wars
Foundation
17M6Victims of Crime, National
Center for
1293 Wildlife Conservation Fund of
America
17F8 Wounded Warrior Emergency
Support Fund
17H3Wounded Warriors in Action
Foundation
1300 Neighbor To Nation
People in deed serving people in
need, in our local communities,
throughout America and the world.
Providing life-sustaining assistance
and hope for the future.
1351 Alpha-1 Foundation
1345 Association of Christian
Schools International
1372 Breast Cancer Charities of
America
1350 Breast Cancer Research
Foundation
1333 Children’s Cancer Assistance
Fund (The National Children’s
Cancer Society, Inc.)
1347 Children’s Food Fund/World
Emergency Relief
1307 Children’s Hunger Relief Fund
1364 Christian Military Fellowship
1357 Christian Relief Fund
1340 Foundation Fighting Blindness
1346 Gateway for Cancer Research
1313 Glaucoma Research
Foundation
1370 Home School Foundation
1375 Keep a Child Alive
1367 Leukemia Research
Foundation
1316 Lions Clubs International
Foundation
1319 Mercy Ships
1335 Mexican Medical
1306 National Brain Tumor Society
1360 Nazarene Compassionate
Ministries, Inc.
1300 Neighbor To Nation
1377 Operation Blessing
International Relief and
Development Corp.
1369 Osteogenesis Imperfecta
Foundation
1323 Samaritan’s Purse
1339 The Society of St. Andrew
1326 The V Foundation
1342 The Voice of the Martyrs, Inc
1361 United Leukodystrophy
Foundation
It is the policy of the Houston Independent School District not to discriminate on the basis of age, color, handicap or disability, ancestry, national origin, marital status, race, religion, sex, veteran status, political
affiliation, sexual orientation, gender identity and/or gender expression in its educational or employment programs and activities.
HOUSTON INDEPENDENT SCHOOL DISTRICT
COMBINED CHARITIES CAMPAIGN · PLEDGE FORM
*PLEDGE FORM MUST BE SIGNED AND RETURNED TO DEPARTMENT/SCHOOL PAY LOCATION COORDINATOR
PLEASE PRINT ALL INFORMATION
Employee Name:______________________________________
Department/School Name:_____________________________
______________________________________________________
** Mailing Address for Confirmation Receipt
______________________________________________________
Street Address:_______________________________________
Dept./School Pay Location No.:________________________
______________________________________________________
Employee No.:________________________________________
City, State, & Zip Code:________________________________
To make your charitable contribution, print out this form, and choose one or more federation/charity from the 2016 Combined Charities Campaign
Charity by Federation report on the HISD CCC website Quick Links. In the spaces provided below, write in the name and number of the federation/
charity, indicate the method of payroll deduction payment, and the amount you wish to contribute. Make copies for additional contributions as needed.
*THIS FORM IS NOT NEEDED IF DONATING ONLINE THROUGH THE CCC WEBSITE. If using this form, turn in to your department/school pay location
coordinator to enter online by proxy.
SELECTION THREE
SELECTION TWO
SELECTION ONE
PLEASE MAKE A COPY FOR YOUR RECORDS
Name of Charity:_______________________________________________________________
Charity Code #:
Payroll Deduction METHOD OF PAYMENT (Please check only one):
One time Contribution $_____________________________________________ Amount (Minimum $2.00; Whole Dollars ONLY)
X 1 =
$_________________________________
Total Deduction on 1/13/2016 Paycheck
Pay Period Contribution $_____________________________________________ X 26 = $_________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY)
Total Annual Deduction
Name of Charity:_______________________________________________________________
Charity Code #:
Payroll Deduction METHOD OF PAYMENT (Please check only one):
One time Contribution $_____________________________________________ Amount (Minimum $2.00; Whole Dollars ONLY)
X 1 =
$_________________________________
Total Deduction on 1/13/2016 Paycheck
Pay Period Contribution $_____________________________________________ X 26 = $_________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY)
Total Annual Deduction
Name of Charity:_______________________________________________________________
Charity Code #:
Payroll Deduction METHOD OF PAYMENT (Please check only one):
One time Contribution $_____________________________________________ Amount (Minimum $2.00; Whole Dollars ONLY)
X 1 =
$_________________________________
Total Deduction on 1/13/2016 Paycheck
Pay Period Contribution $_____________________________________________ X 26 = $_________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY)
Total Annual Deduction
PAYROLL DEDUCTION AUTHORIZATION: I hereby authorize the payroll deduction(s) of the amount(s) shown above to the proper charity as indicated. I
understand that this authorization may be revoked by me in writing at any time before it expires and may not be reinstated until the next campaign period.
____________________________________________ _____________________________
SignatureDate
Yes, I would like a confirmation email sent from HISD to acknowledge my pledge.
Yes, I would like a confirmation receipt mailed to me from the charity(ies) listed above.**
THANK YOU FOR YOUR GENEROUS CONTRIBUTION
I have been given the opportunity to participate in this year’s campaign, but choose not to contribute at this time._________ Employee Initials