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Pledge Card - Forsyth County Schools
TO CONTRIBUTE BY CREDIT CARD OR CHECK,
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Enter your monthly payroll deduction amount below.
Monthly Contribution Amount
Total Amount
Pledge Card - Forsyth County Schools
Personal Information
Retired Employee
Yes
No
If you are a retired employee/teacher please indicate below what school you retired from.
School Name (Forsyth County)
*
Big Creek Elementary
Brandywine Elementary
Brookwood Elementary
Chattahoochee Elementary
Chestatee Elementary
Coal Mountain Elementary
Cumming Elementary
Daves Creek Elementary
Haw Creek Elementary
Johns Creek Elementary
Kelly Mill Elementary
Mashburn Elementary
Matt Elementary
Midway Elementary
New Hope Elementary
Poole's Mill Elementary
Sawnee Elementary
Settles Bridge Elementary
Sharon Elementary
Shiloh Point Elementary
Silver City Elementary
Vickery Creek Elementary
Whitlow Elementary
DeSana Middle
Hendricks Middle
Lakeside Middle
Liberty Middle
Little Mill Middle School
North Forsyth Middle
Otwell Middle
Piney Grove Middle
Riverwatch Middle
South Forsyth Middle
Vickery Creek Middle
Academies of Creative Education
Alliance Academy for Innovation
Denmark High
East Forsyth High
Forsyth Central High
Lambert High
North Forsyth High
South Forsyth High
West Forsyth High
Central Office & Support Division
Employee ID Number
*
Title
First Name
*
Last Name
*
Email Address
*
Street Address
*
City
*
State
*
- select State/Province -
Alabama
Alaska
American Samoa
Arizona
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Armed Forces Americas
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Armed Forces Pacific
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Delaware
District of Columbia
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United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
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Postal Code
*
Mobile Phone
*
Loyal Contributor is someone who has donated to the United Way for 10 years or more
How many years have you contributed to the United Way?
Leadership Giving (If your gift is $500+, please fill out the section below)
My (our) total gift qualifies for Leadership Giving
Yes
No
I wish to remain anonymous
Yes
No
Please list my/our names as follows
My Investment Options
Funding Options
Community Impact
Education
Health
Economic Mobility
Basic Needs
Mental Health Services
Diversity, Equity & Inclusion
Disaster Support
Partner Agency Designation
- select Partner Agency Designation -
American Red Cross, NE Georgia Chapter
Bald Ridge Lodge
CASA of Forsyth County, Inc.
Children’s Center for Hope & Healing
Dawson County Family Connection
Dawson County 4-H Council
Forsyth County 4-H Council
Georgia Highlands Medical Services
Girl Scouts of Greater Atlanta
Good Shepherd Clinic of Dawson County
Hall-Dawson CASA
Jesse's House
Mentor Me North Georgia
NE GA Council, Boy Scouts of America
Next Generation Youth Development
NOA
Rape Response
Sisu (formerly Challenged Child and Friends)
Wee Books
Another United Way
If you want your donation to go to a different United Way, please list that United Way in this box.
Note
Payment Options
[x] Payroll Deduction
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