Survey - Employee Giving - Payroll Deduction - St. Louis Children's Hospital Foundation

Employee Giving - Payroll Deduction

For St. Louis Children's Hospital Employees Only. PLEASE NOTE: To help keep everyone safe and doing our part to halt the spread of COVID-19, St. Louis Children's Hospital Foundation staff will be working remotely until further notice. Spirit t-shirt orders will be fulfilled once a week and sent via campus mail.

Basic Information


*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
	Phone Number:
	Yes, I would like to receive communications from St. Louis Children's Hospital Foundation

*

Question - Required - Employee ID# (10 digit # located on the back of your badge):

*

Question - Required - Department/Office Location:

*

Question - Required - Gift frequency: (Note: You can contact the Foundation at any time to stop the deduction.)

*

Question - Required - Payroll Deduction Gift Amount: (minimum $1 for recurring deductions)

*

Question - Required - Please direct my gift to:

*

Question - Required - T-shirt Size: (unisex sizing)

*

Question - Required - How will you obtain your Spirit T-shirt?

I would like my t-shirt sent via campus mail.

I will pick up my shirt at the Resident Office. (Please note: This option is only available to Residents and Interns.)