Ferris

The Ferris Foundation Logo

Faculty and Staff Payroll Deduction Form

First Name

Last Name

Please enter your eight digit Banner ID

Campus Address

Campus or Cell Phone

Choose Gift Designation

Guest Names and Dietary Restrictions (if known)

255 character limit

0 / 255

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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Check here if you wish to decline Athletic Club Membership benefits (if applicable).

Deduction Option

Recurring Deduction (per pay amount)

Enter amount for one-time payroll deduction

START DATE: (Please note, depending on the submit date of your request, deduction periods may need to be adjusted.)

Payroll deduction for The Ferris Foundation Benefit is to be paid in full by June 30th.

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.

255 character limit

0 / 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.

$0.00

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Amount Per-Pay