Faculty/Staff Giving Form

First Name:*

Middle Initial:

Last Name:*

Employee ID:

College:

Department:

Campus Address:*

Campus Phone:

Email:*

Faculty or Staff:* This is a required field.

Faculty Staff

I am a UMass Boston grad, class(es) of:

I am a Boston State grad, class(es) of:

I am currently enrolled as a:

Full Time Student Part Time Student

Do you have a child or children attending UMass Boston? If so, how many?

WAYS TO GIVE

Gifts of Cash:

Donation amount:
Upon submission of this form, you will receive a confirmation email. Please print and send a copy of this message along with your check payable to UMass Boston to Steve Ward, University Advancement, Quinn 1st Floor Room 050 for processing. If you wish to pay by credit card or have additional questions, please contact Steve Ward in the Office of University Advancement at 7-5346.

Giving by Payroll Deduction:

Type of Payroll Deduction:*

Specific Amount Bi-Weekly

I choose/wish to designate my gift to* This is a required field.

Area of Greatest Need Scholarships Athletics The Healey Library College of Education and Human Development College of Liberal Arts College of Management McCormack Graduate School of Policy and Global Studies College of Nursing and Health Sciences College of Public and Community Service College of Science and Mathematics Other

If other:

Comments:

Please answer the question below. This is to ensure that this form is submitted by a person rather than a robot.*
Is the University of Massachusetts Boston in Massachusetts? (yes or no)

Thank you for supporting the UMass Boston Fund. Giving is calculated by fiscal year from July 1 - June 30. All gifts to UMass Boston are tax deductible to the extent allowed by IRS guidelines.