2025 Day of Giving – Employee Payroll Deduct

THANK YOU for using payroll deduct to participate in NEA Baptist Day of Giving

Please choose one(Required)

New Employee/Donor

Current Employee/Donor

Choose your selection below- New Employee/Donor Options(Required)

Payroll Deduction (per pay period - specify amount below)

One Time Payroll Deduction (specify amount below)

Choose your selection below(Required)

Payroll Deduction (per pay period - specify amount below)

One Time Payroll Deduction (specify amount below)

PTO Deduction (one time - specify amount below)

Change to Current Payroll Deduction

Cancel Payroll Giving

Payroll Deduction

amount to be deducted per pay period

One Time Payroll Deduction

amount to be deducted from a single pay period

PTO Donation

# of hours to be deducted from a single pay period

Change to Current Payroll Deduction

Please specify what change(s) to apply to your current payroll deduction

Please select your gift designation(Required)

Auxiliary Mammogram Fund

Chaplain's Fund

Marc Ford Fund

ShareHope

Employee Information

Employee #(Required)

Found on the back of the NEA Baptist ID Badge

Name(Required)

First Last

Title(Required)

Example: Mr, Mrs, Ms, Dr

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Email(Required)

Phone(Required)

Department I work in(Required)

By submitting this form you authorize Baptist Memorial Health Care Foundation to payroll deduct your selection and agree to the following:
Recurring (Per Pay Period) deductions will continue unless otherwise specified in writing and submitted the NEA Baptist Charitable Foundation.

Personal Time Off (PTO) hours will be deducted from current available balance. The cash value (number of hours x hourly rate of pay minus taxes) will be the amount donated.

Once donated these PTO hours are no longer available for personal use and 40 hours of PTO must be maintained to make the donation valid.

All personal information is confidential.

The NEA Baptist Charitable Foundation does not provide goods or services as whole or partial consideration for any contribution.