The University of Akron
Faculty and Staff Payroll Deduction Plan
Thank you for making a commitment to The University of Akron.
Your generous support is greatly appreciated.
Please complete this form and mail to: The University of Akron
Department of Development
Akron, OH 44325-2603
Or email completed form to:
AnnualFund@uakron.edu
Today’s Date: Enter the date_____
Employee ID: Enter your ID_______
Last Name: Enter your last name_________
First Name: Enter your first name_____
Department: Enter your department name_______
☐ I would like to pledge $Enter the amount of your gift__ to be deducted from my paycheck(s)
☐ For the following number of years Enter the number of months for this deduction
☐ Continuously
I am paid:
☐ 9 times a year
☐ 12 times a year
☐ 26 times a year
Please start my payroll deduction: Enter the Month and Year to start your deduction
Please direct my contribution to: Enter the college, dept., account, etc.
Signature: _____________________________________ Date: ____________________________
Planned Gifts: ☐ The University of Akron is in my will.
Please indicate if you would like additional information regarding:
☐ Gifts through an Estate Plan
☐ Gifts through a Charitable Trust
☐ Gifts through Annuity/Retirement Plans
☐ Gifts through Life Insurance
☐ Establishing a Named Scholarship
Questions? Please contact Jason Stoynoff at 330-972-6538 or jstoynoff@uakron.edu
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