Payroll Deduction FormPayroll Deduction Form Annual Fund Payroll Deduction Form Step 1 of 3 33% Donor InformationPanther ID*Name* First Last Department Name*Campus P.O. Box*Georgia State Email* Phone*Campus Location Donation InformationAre you currently enrolled in payroll deduction?NoYesWould you like to increase your deduction?YesNoPlease increase my payroll deduction per pay period to:*Please deduct from my salary the following amount per pay period:*Select your pay interval:*Bi-WeeklyMonthlyPlease begin this deduction*I authorize this payroll deduction.*Please note that some faculty members are on a 10-month contract and can only have 10 deductions per year. All payroll deductions are continuous with no end date unless otherwise noted by the donor. Changes may be made at any time during the year.Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Designation InformationGSU Fund for Excellence Rialto Center for the Arts GSU Fund for the University Library University-wide Scholarships Athletics (Panther Athletic Club) Would you like to support a specific college?NoYesSelect a collegeAndrew Young School of Policy StudiesByrdine F. Lewis College of Nursing and Health ProfessionsCollege of Arts and SciencesCollege of Education & Human DevelopmentCollege of LawCollege of the ArtsHonors CollegeInstitute of Biomedical SciencesJ. Mack Robinson College of BusinessPerimeter CollegeSchool of Public HealthGift amount for your selected college: Would you like to support something else?NoYesTell us where you’d like to designate your gift.Designation amount for your donation Total per pay period $0.00 CAPTCHA Gifts to the Georgia State University Foundation are tax-deductible to the extent allowed by law.