Payroll Deduction Form

Payroll Deduction Details

Illinois Wesleyan University employees are eligible to participate in a workplace giving program. The program is a great way to create positive impact at Illinois Wesleyan through easy-to-use Payroll Deductions. Please fill out the following form to begin a deduction plan. You can notify Advancement or the Business Office Payroll Coordinator at any time to change, update or cancel your deduction.

The payroll deduction is:

A new one-time deduction

A new recurring deduction

Update an existing deduction

Designation

One-time Deduction Amount

Amount Per Pay Period

For this many Pay Periods
Please leave this field blank if you'd like your deduction to be on-going.

Designation

Other Designation

Update Details
Please list the updates you want to make to your existing Payroll Deduction. (i.e. change to a gift amount, frequency, designation, or cancel)

I'd like to make another designation.

Yes

No

Your Second Designation

One-time Deduction Amount

Amount Per Pay Period

For this many Pay Periods
Please leave this field blank if you'd like your deduction to be on-going.

Designation

Other Designation

Start Date

Deductions will begin on your next pay period. If you would like for your deduction to start on a later date, please specify below.

Start Date

Recognition

I wish for my gift to be:

Anonymous

Not Anonymous

Your Information

Prefix

First Name

Preferred

Last Name

Maiden Name

Suffix

Email Address

Mobile Phone

May we text you?

Birthdate

Campus Location
(Building, Room Number)

Would you like to update your mailing address?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code