Please indicate the amount of your payroll deduction pledge, below. Your pledge will be deducted in equal installments from all of your paychecks in calendar year 2017.
Choose one of the following answers
I pledge $52.00 ($1 per week).
I pledge $3.00 per Pay Period.
I pledge $4.00 per Pay Period.
I pledge $5.00 per Pay Period.
I pledge $6.00 per Pay Period.
I pledge $10.00 per Pay Period.
I pledge $25.00 per Pay Period.
I pledge OTHER AMOUNT per Pay Period (please indicate amount per pay period in comment box).
How many times per year do you receive a paycheck? Choose one of the following answers
24 pay periods
22 pay periods
20 pay periods
18 pay periods
Most UVM employees work 12 months, are paid twice a month, and receive 24 paychecks during the calendar year. If you are paid less frequently, please indicate the number of times you are paid each year.
Automatic Pledge Renewal Option
Check here if you would like UVM to renew your pledge automatically each year until you instruct us to discontinue.
We will send you a courtesy notice each year before we renew your pledge.
UVM Campaign Leadership Giving Levels
UVM has three leadership giving levels:
$500.00 - $749.00: Grace Goodhue Coolidge Leadership Circle
$750.00 - $999.00: George Washington Henderson Leadership Circle
$1,000 and above: Pomeroy Leadership Circle
Please indicate the amount of your leadership pledge, below:
Joint Leadership Giving:
Please combine my gift with that of my spouse/partner to qualify as a Leadership Gift. His/her name and employer are:
United Way in Your Hometown
The best investment in your community!
Please choose your United Way
United Ways in Vermont make sure that your investment has the greatest community impact by allocating your gift to a wide range of coordinated local programs with proven results that directly change and improve lives.
Please direct my contribution to: Choose one of the following answers
United Way of Northwest Vermont (Merger of United Way of Chittenden County and Franklin-Grand Isle United Way)
United Way of Addison County
Granite United Way - Upper Valley/Windsor
Green Mountain United Way (serving Caledonia, Essex, Orange, Orleans and Washington Counties)
United Way of Lamoille County
United Way of Rutland County
United Way of Windham County
SUPPORT FOR COMMUNITY IMPACT: As an alternative, I would like my gift to be used to support one or more of the United Way's "Community Impact" areas. (If selecting more than one impact area, please show percentage of gift to go to each area.)
Check any that apply
Comment only when you choose an answer.
EDUCATION (Helping children, youth and young adults achieve their potential)
HEALTH (Improving people's health and well-being)
INCOME (Meeting basic needs and promoting financial stability)
DONOR DIRECTED DESIGNATION: I wish to direct a portion of my gift (minimum of $72 per organization) to a specific agency. (I understand that the United Way does not provide fiscal or program oversight. The United Way of Northwest Vermont retains 6% of donations designated to agencies other than Vermont United Ways to defray the administrative costs of processing.)
Check here if you would like your name provided to the designated United Way or non-profit agency.
Check any that apply
Check here if you would like your United Way gift to remain anonymous in any recognition, programs or publications.
Check here if you would like to receive United Way's e-mail updates.
Thank you for your support!
Please let us know if you have any questions or comments.
THE UNIVERSITY OF VERMONT -- BURLINGTON, VT 05405 - (802) 656-3131