ULS Faculty & Staff Giving Form

Thank you for making ULS a philanthropic priority. We appreciate your commitment to ULS every day and are honored to partner with you to strengthen your impact.

You may also print this form and return to the LSU Foundation.

Payroll Deduction Information

The payroll deduct enrollment cutoff date is the 25th of each month. If you sign up after that date, your payroll deduction will begin the following month. I authorize the below amount to be deducted from my paychecks and designated as follows:

Please don't fill out this input box.

Payroll Deduction Amount:*

Please select one:*

I would like to: *

This gift is:*

I would like my gift to support:*

Gift Comments:

DONOR INFORMATION

First Name:*

Last Name:*

LSU ID Number:

Email Address:*

PREFERRED MAILING ADDRESS

Address 1:*

Address 2:

City:*

State:*

Zip:*

JOINT GIFT INFORMATION

If this gift is being made jointly with a spouse or partner, please complete the following fields so that we may appropriately acknowledge your generosity.

Preferred Joint Name for Mail:

Spouse/Partner First Name:

Spouse/Partner Last Name:

TRIBUTE INFORMATION

If this gift is being made in memory or honor of someone, please complete the following fields.

My gift is:

Name of the person or pet you are paying tribute to:

If you would like to notify someone of your gift, please provide their name and address. Gift amount will not be included in the notification.

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