2025 Prisma Health Employee Giving Campaign Name * Name First First Last Last Employee ID # (Employee ID can be found in Workday - Profile - View Profile - Job - Job Details - Worker ID) * Email * Campus * Richland Baptist Parkridge OtherOther Street Address * City * State * Zip Code * Are you already enrolled in Team Member Giving? * Yes, and I would like to keep my gift the same Yes, and I would like to change my gift to what I select below No, and I'm choosing my gift amount below Choose your payroll deduction amount * $5 per pay period $10 per pay period $20 per pay period $50 per pay period $80 per pay period Keep my giving level the same as 2024 OtherOther I'd prefer to do a one-time gift of: (insert dollar amount) I'd like my gift to be designated to: * Area of Greatest NeedCancer InstituteChildren's HospitalHospiceHeart HospitalTrauma ServicesHigh-Intensity Focused Ultrasound Capital CampainOther* I'd like my gift to be designated to: Other Designation (type in fund name or number from 2025 Funds List)) Share your story! Why do you give back? Preferred Shirt Size X-SmallSmallMediumLargeX-LargeXX-LargeXXX-LargeXXXX-Large Agree to Terms and Conditions * Yes, I Agree I authorize a recurring payroll deduction in the amount indicated per pay period as my gift to the Prisma Health Miracle Team employee giving campaign. I understand that at any time, I can raise, lower or cancel my contribution by notifying the foundation via email or in writing. Submit If you are human, leave this field blank.
