Faculty and Staff Donation Form

Faculty/Staff Contact Info

First Name: Required Field

Last Name: Required Field

Employee ID #:

Primary E-mail: Required Field

UMKC e-mail address (if different):

Address:

City:

State:

Zip:

Phone Area Code:

Phone Number:

Payroll Deduction

PAYROLL DEDUCTION
You have three payroll options. Follow these four steps:

1. Choose your payroll option
2. Enter your payroll deduction amount next to your option
3. Tell us where you would like your gift designated
4. Verify if this deduction is an addition to your current payroll deduction
5. Skip to the bottom of the form and click "Next"

Monthly Donation Through Payroll Deduction

Amount to be deducted per month:

Bi-weekly Donation Through Payroll Deduction

Amount to be deducted per paycheck:

One-time Donation Through Payroll Deduction

Payroll Deduction One-Time Only:

Previous Payroll Deduction Authorization

Previous Payroll Deduction

Please tell us where you would like your gift designated.

Example:
Dr. Raj Bala Agrawal Care Center, Area of Greatest Need, Name of School, Libraries, Athletics, Name of Scholarship, KCUR, etc.

Gift Designation:

Give Now Via Credit Card

Choose your gift amount:

Credit Gift Amount:

Payment Options

Give Now

I would like to make Scheduled Payments

I would like to make this a Recurring Gift

UMKC accepts Visa, Mastercard, Discover and American Express.

Designations

Selected Designations (edit)

Remove	Name	Amount	Percentage
	Academy of Students	$	%
	Accounting	$	%
	Alumni Awards Event Schol.	$	%
	Alumni Scholarship Fund	$	%
	Assuring the Future Schol.	$	%
	Athletic Director Fund	$	%
	Athletic Facility Fund	$	%
	Athletics	$	%
	Behavioral Lab	$	%
	Bloch Alumni Impact Fund	$	%
	Bloch Dean's Discretionary Fund (032431)	$	%
	Bloch School of Management	$	%
	Brighter Future Fund	$	%
	Building Fund	$	%
	Cheer and Dance	$	%
	Class Scholarship	$	%
	Computer Classroom	$	%
	Conserv. Fund for Excellence	$	%
	Conservatory	$	%
	Conservatory Alumni Impact Fund	$	%
	Conservatory Bridges	$	%
	Conservatory Scholarship	$	%
	Continuing Education	$	%
	Cookingham Develop. Fund	$	%
	Diamond Celeb. Schlrshp	$	%
	Don Thompson Prof Fund	$	%
	Dr. Raj Bala Agrawal Memorial Fund	$	%
	Drug Information Center	$	%
	Ellen Suni Scholarship	$	%
	Enactus Project Fund	$	%
	Entrepreneur Hall of Fame	$	%
	Entrepreneur of the Year	$	%
	Executive MBA Program	$	%
	Faculty/Staff Scholarship	$	%
	Fellowship Fund	$	%
	Finance	$	%
	Friends of Con. Membership	$	%
	Friends of the SOM	$	%
	Future 50 Fund	$	%
	General Fund	$	%
	General Scholarship Fund	$	%
	GLAMA	$	%
	Grad. Alumni Fund	$	%
	Health Sciences Bldg.	$	%
	Henry Bloch Legacy Fund	$	%
	Honors College	$	%
	Individual Lifetime Membership	$	%
	Inst. for Entrep. & Innovation	$	%
	International Business	$	%
	International Medicine	$	%
	Jazz Friends Membership	$	%
	KC Stem Alliance	$	%
	KPMG Endowed Accounting Scholarship	$	%
	LaBudde Spec Collections	$	%
	Law Foundation	$	%
	Legacy Scholarship	$	%
	Lewis White Real Estate Ctr.	$	%
	Lib General Collections	$	%
	Library-Marr Sound Archive	$	%
	Library-Unrestricted	$	%
	MacQuarrie Fellowship Fund	$	%
	Management	$	%
	Marilyn McGuyre Fund	$	%
	Marketing	$	%
	MBA	$	%
	Med. Alumni Fund	$	%
	Men's Basketball	$	%
	Men's Golf	$	%
	Men's Soccer	$	%
	Men's Tennis	$	%
	Neonatal Nurse Prac. Prog.	$	%
	Nicholas Fund	$	%
	Nonprofit Leadership	$	%
	Nurse Researchers	$	%
	Nursing Alumni Fund	$	%
	Nursing and Health Sciences Discretionary Fund	$	%
	Nursing Scholarship	$	%
	Pharmacy Dean-Unrestricted	$	%
	Pharmacy Faculty Develpmnt	$	%
	Pharmacy Foundation	$	%
	Pharmacy Scholarship	$	%
	Public Affairs	$	%
	Rachel Drabenstott Scholarship	$	%
	Radiology Department	$	%
	Renz Scholarship	$	%
	Rinehart Foundation	$	%
	Robert W. Plaster Free Enterprise & Research Center	$	%
	Roo Athletic Fund	$	%
	SCE Student Orgs/Teams Fund Endowment	$	%
	Scholarships	$	%
	School of Dentistry	$	%
	School of Graduate Studies	$	%
	School of Humanities and Social Sciences	$	%
	School of Humanities and Social Sciences Faculty Student Research	$	%
	School of Humanities and Social Sciences Scholarships	$	%
	School of Humanities and Social Sciences Unrestricted	$	%
	School of Law	$	%
	School of Medicine	$	%
	School of Medicine Student PPE	$	%
	School of Nursing and Health Studies	$	%
	School of Pharmacy	$	%
	School of Science and Engineering	$	%
	School of Science and Engineering Alumni Fund	$	%
	School of Science and Engineering Unrestricted Gifts	$	%
	SHSS-Enrichment Activities	$	%
	SHSS-Internships	$	%
	Simulation Lab	$	%
	Softball	$	%
	Sojourner Health Clinic	$	%
	Sports Performance	$	%
	St. Louis Friends	$	%
	Stern Piano Fund	$	%
	Student Emergency Fund	$	%
	Student Success Double Match	$	%
	Student Veteran Program	$	%
	Summer Schlrshp Program	$	%
	The Ankit Agarwal Computer Science Scholarship	$	%
	Track and Cross Country	$	%
	Trial Advocacy Program	$	%
	Trustees Scholars	$	%
	UMKC Alumni Association	$	%
	UMKC Foundation	$	%
	UMKC Trustees	$	%
	UMKC Trustees Unrestricted	$	%
	University Lib Preservation	$	%
	University Libraries	$	%
	Unrestricted Gift	$	%
	Unrestricted Research	$	%
	Vision Research Center	$	%
	Volleyball	$	%
	Women's Basketball	$	%
	Women's Cmte. Scholarship	$	%
	Women's Golf	$	%
	Women's Soccer	$	%
	Women's Tennis	$	%
	Youngblood Society	$	%
Total:		$0.00	0%

In Honor / Memory Of

Please choose:

Please choose: Honor of
Memory of

Name:

Send notification of my gift to the following name and address:

Spouse/Partner & Joint Gift

This is a joint gift:

Joint Donor Name:

A Question for Couples
If you and your spouse/partner are receiving multiple mailings and would like us to send one mailing addressed to both of you when applicable, please answer the next two questions.

Is your spouse/partner a UMKC alum?

Is your spouse/partner a UMKC alum? Yes
No

Name of my spouse/partner: