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Faculty and Staff Payroll Deduction Form
First Name
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Last Name
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Please enter your eight digit Banner ID
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Campus Address
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Campus or Cell Phone
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Email
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Select Gift Designation
Please note: gifts to an established scholarship endowment of at least $1,000 annually, by an individual or group, will be matched 100% by the Ferris Futures Scholarship Challenge.
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Select Option
The Ferris Foundation Benefit 2023
Athletic Club/Team
College of Arts, Sciences, and Education
College of Business
College of Engineering Technology
College of Health Professions
College of Pharmacy
CrowdStrike NextGen Scholarship Endowment
Michigan College of Optometry
Extended & International Operations
Ferris Foundation Need-based Scholarship Endowment
Ferris Foundation Opportunity Scholarship Endowment
Kendall College of Art and Design Scholarship Endowment
Nursing Program
Opportunity Ferris Cares - General
Opportunity Ferris Cares - Arts. Sciences and Education
Opportunity Ferris Cares - Business
Opportunity Ferris Cares - Engineering Technology
Opportunity Ferris Cares - Health Professions
Opportunity Ferris Cares - Optometry
Opportunity Ferris Cares - Pharmacy
Plastics & Rubber Faculty Scholarship Endowment
Statewide and Online Scholarship Endowment
Sports Communication Scholarship Endowment
Study Abroad Scholarship Endowment
Other Designation (describe below):
Guest Names and Dietary Restrictions (if known)
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255 character limit
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Use the box below to describe specific "Athletic Club/Team" or "Other Designation" selected above. If you wish to give to an Athletic Club Membership, please specify benefit package or opt out of all benefits by clicking the box below.
255 character limit
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/ 255
Check here if you wish to decline Athletic Club Membership benefits (if applicable).
Deduction Option
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Select Option
One-time Deduction Only
Recurring Payroll Deductions
Recurring Deduction (per pay amount)
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Enter amount for one-time payroll deduction
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START DATE: (Please note, depending on the submit date of your request, deduction periods may need to be adjusted.)
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END DATE: (No end date is required if this is a continuing payroll deduction.)
Please provide additional information below regarding payment options and schedules, memorial/honorarium information, etc. If using this form for One Day for Dawgs campaign, please enter “ODFD” and the Team Name you are supporting below.
255 character limit
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/ 255
I authorize Ferris State University to process this deduction according to amount and time period listed above. If no end date was entered, I authorize deductions to continue until I email Advancement Services or the Payroll Department.
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