Our “Fuel the Innovation” faculty and staff campaign is part of the University’s $100 million Charger Challenge campaign. “Fuel the Innovation” celebrates the people who make it all possible, our faculty and staff who truly are the lifeblood of the institution.

Our “Fuel the Innovation” faculty and staff campaign is part of the University’s $100 million Charger Challenge campaign. “Fuel the Innovation” celebrates the people who make it all possible, our faculty and staff who truly are the lifeblood of the institution.

Please fill out the form below to make a gift via payroll deduction. You may select your gift to take effect July 1, September 1 or January 1.

You can choose to commit through June 30, 2020 (the “worry-free” option to continue your support through our Centennial) or you can leave the end date open. You can always adjust your commitment at any time.

Please note, donors who choose to support the University in the three fiscal years leading up to our Centennial will receive our limited edition Commemorative Centennial Coin and will be specially acknowledged as a member of the University’s Loyal Engaged Annual Donors (LEAD) Society during our Centennial year.

To receive this coin, your annual support must total $30 or more in each of the following years.

July 1, 2017 to June 30, 2018
July 1, 2018 to June 30, 2019
July 1, 2019 to June 30, 2020

Name Name * First Last
University Email *
Department *
Home Address Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Spouse's Name Spouse's Name First Last
Spouse's Employer (Please check www.matchinggifts.com/newhaven to see if your spouse works for a matching gift company.)
Relationship to the University (mark all that apply) *

Relationship to the University (mark all that apply) Faculty Staff Adjunct Faculty Alumna/us Spouse is an alumna/us Parent of a current University of New Haven student Parent of a University of New Haven alumna/us
Gift Information

I wish to schedule my gift through payroll deduction below:
Please note, your form must be submitted by the 15th of the month prior to allow for processing time with the business office.

Please begin my payroll deduction on: *

Please note, your form must be submitted by the 15th of the month prior to allow for processing time with the business office.

Please begin my payroll deduction on: July 1 (Submit by June 15) September 1 (Submit by August 15) January 1 (Submit by December 15)
Please choose one of the following: *

Please choose one of the following: Please continue my payroll deduction as long as I am employed at the University (continuous pledge) or until I notify you to end or change it. Please continue my payroll deduction until June 30, 2020 (Centennial year). Please deduct the amount shown above monthly until June 30. Then, please contact me next year about renewing my pledge.
Monthly Commitment (in whole dollars) * $ Dollars . Cents
I am paid: *

I am paid: Weekly Bi-Monthly
I wish to designate my gift to: *

I wish to designate my gift to: Centennial Innovation Building Fund College of Arts & Sciences Innovation Fund College of Business Innovation Fund Henry C. Lee College of Criminal Justice and Forensic Sciences Innovation Fund Tagliatela College of Engineering Innovation Fund Lyme Academy College of Fine Arts Annual Fund Scholarships Emergency Scholarship Fund Veteran Student Emergency Fund Athletics Marvin K. Peterson Library Other (*Before selecting “other” please email mneary@newhaven.edu for additional designation options and specific FUND ID to enter on this form.)
Please draw your signature into the box below using your mouse (computer) or finger (mobile device) *

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