Employee Payroll Deduction Form

Laurel Ridge employees, please complete and submit this online form to donate to the Foundation through payroll deduction. Contact Beverly Steele if you have any questions or need assistance.

Thank you for your kind donations to benefit our students!

  • Your Information:

  • Optional
  • MM slash DD slash YYYY
  • Contribution Options:

  • Click the plus icon to the right to add more contribution designations.
    FundAmount Per Pay Period 
  • Public Recognition:

  • Agreement:

  • By initialing below and submitting this form, I attest that the information on this form is correct and am authorizing the amounts indicated above to be donated to the Laurel Ridge Educational Foundation via payroll deduction.
  • Please initial below to accept the statement outlined above.
  • This field is for validation purposes and should be left unchanged.