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

Designate Your Gift to an Academic Unit, Scholarship, or Program

Selected Designations (edit)

Remove	Name	Amount	Percentage
	91.9 KCUR Classical KC	$	%
	A&S Alumni Fund	$	%
	A&S Scholarships	$	%
	A&S Unrestricted	$	%
	Academy of Students	$	%
	Accounting	$	%
	Alumni Awards Event Schol.	$	%
	Alumni Scholarship Fund	$	%
	Assuring the Future Schol.	$	%
	Athletic Director Fund	$	%
	Athletic Facility Fund	$	%
	Athletics	$	%
	Basic Life Sci Endowment	$	%
	Behavioral Lab	$	%
	Berkley Development Center	$	%
	Bio Sci Alumni Fund	$	%
	Bio Sci Unrestricted	$	%
	Bloch Alumni Fund	$	%
	Bloch Dean's Discretionary Fund (032431)	$	%
	Bloch School of Management	$	%
	Bounder Alumni Fund	$	%
	Brighter Future Fund	$	%
	Building Fund	$	%
	C. B. Cockefair Chair	$	%
	Campus Leadership Schol.	$	%
	Center for Economic Edu	$	%
	Center for Neighborhoods	$	%
	Cheer and Dance	$	%
	Class Scholarship	$	%
	College of Arts and Sciences	$	%
	Com. Studies Eq. Upgrade	$	%
	Communications Technology	$	%
	Community Counseling and Assessment Center	$	%
	Computer Classroom	$	%
	Conserv. Alumni Fund	$	%
	Conserv. Fund for Excellence	$	%
	Conservatory	$	%
	Conservatory Bridges	$	%
	Conservatory Scholarship	$	%
	Continuing Education	$	%
	Cookingham Develop. Fund	$	%
	Debate Team	$	%
	Diamond Celeb. Schlrshp	$	%
	Diversity Expansion Scholarship	$	%
	Don Thompson Prof Fund	$	%
	Dr. Raj Bala Agrawal Memorial Fund	$	%
	Drug Information Center	$	%
	Early Career Faculty Award	$	%
	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	$	%
	Hazel Browne Williams Schl.	$	%
	Health Sciences Bldg.	$	%
	Henry Bloch Legacy Fund	$	%
	Henry R. Frankel Scholarship	$	%
	History-Cntr Midwest. Stud.	$	%
	Honors College	$	%
	Hugh W. Speer Fellowship	$	%
	Individual Lifetime Membership	$	%
	Inst. for Entrep. & Innovation	$	%
	Institute for Urban Education	$	%
	International Business	$	%
	International Medicine	$	%
	Jazz Friends Membership	$	%
	Kangaroo Pantry	$	%
	Kansas City Speaks	$	%
	KC Rep	$	%
	KC Stem Alliance	$	%
	KCUR FM Radio	$	%
	KPMG Endowed Accounting Scholarship	$	%
	LaBudde Spec Collections	$	%
	Law Foundation	$	%
	Legacy Scholarship	$	%
	Lewis White Real Estate Ctr.	$	%
	LGBTQIA Scholarship	$	%
	Lib General Collections	$	%
	Library-Marr Sound Archive	$	%
	Library-Unrestricted	$	%
	MacQuarrie Fellowship Fund	$	%
	Management	$	%
	Marian Alice Simmons Schol.	$	%
	Marilyn McGuyre Fund	$	%
	Marketing	$	%
	MBA	$	%
	Med. Alumni Fund	$	%
	Mendoza Scholarship	$	%
	Men's Basketball	$	%
	Men's Golf	$	%
	Men's Soccer	$	%
	Men's Tennis	$	%
	Mental Health and Wellness	$	%
	Michelle Boisseau Schol.	$	%
	Mitochondrial Gen. Diseases	$	%
	Multicultural Student Affrs	$	%
	Neonatal Nurse Prac. Prog.	$	%
	New Letters	$	%
	Nicholas Fund	$	%
	Nonprofit Leadership	$	%
	Nurse Researchers	$	%
	Nursing Alumni Fund	$	%
	Nursing and Health Sciences Discretionary Fund	$	%
	Nursing Scholarship	$	%
	Other	$	%
	Parish Memorial Scholarship	$	%
	Pharmacy Dean-Unrestricted	$	%
	Pharmacy Faculty Develpmnt	$	%
	Pharmacy Foundation	$	%
	Pharmacy Scholarship	$	%
	Public Affairs	$	%
	Rachel Drabenstott Scholarship	$	%
	Radiology Department	$	%
	Renz Scholarship	$	%
	Rinehart Foundation	$	%
	RISE: Resources, Intervention, Support, and Education	$	%
	Robert W. Plaster Free Enterprise & Research Center	$	%
	Ronald and Ellen Cotts General Scholarship Fund	$	%
	Roo Athletic Fund	$	%
	SCE Student Orgs/Teams Fund Endowment	$	%
	Scholarships	$	%
	School of Biological and Chemical Sciences	$	%
	School of Dentistry	$	%
	School of Education	$	%
	School of Education Alumni Fund	$	%
	School of Graduate Studies	$	%
	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	$	%
	Shona Kelly Wray Medieval Studies Scholarship	$	%
	Simulation Lab	$	%
	Softball	$	%
	Sojourner Health Clinic	$	%
	Sports Performance	$	%
	St. Louis Friends	$	%
	Starr Women's Hall of Fame	$	%
	Stern Piano Fund	$	%
	Student Emergency Fund	$	%
	Student Gov & Alumni Assoc.	$	%
	Student Involvement	$	%
	Student Veteran Program	$	%
	Study Abroad Schol.	$	%
	Summer Schlrshp Program	$	%
	The Ankit Agarwal Computer Science Scholarship	$	%
	The Divine Nine Gardens	$	%
	Track and Cross Country	$	%
	Trial Advocacy Program	$	%
	Trustees Scholars	$	%
	UMKC Alumni Association	$	%
	UMKC Foundation	$	%
	UMKC Retirees Association	$	%
	UMKC Trustees	$	%
	UMKC Trustees Unrestricted	$	%
	University Lib Preservation	$	%
	University Libraries	$	%
	Unrestricted Gift	$	%
	Unrestricted Research	$	%
	Unrestricted Scholarship	$	%
	Urban Edu Research Cntr	$	%
	Vision Research Center	$	%
	Volleyball	$	%
	Wheadon Bloch Scholarship	$	%
	Wheelock Scholarship	$	%
	Women's Basketball	$	%
	Women's Center	$	%
	Women's Cmte. Scholarship	$	%
	Women's Council GAF	$	%
	Women's Golf	$	%
	Women's Soccer	$	%
	Women's Tennis	$	%
	Writers at Work	$	%
	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: