Saint Francis Foundation

Spirit of Giving Donation

Dear Colleague,

Thank you so much for supporting the "Spirit of Giving" Campaign. As a team, we are able to accomplish so much together. Please complete the information below to begin the donation process. We truly appreciate your thoughtful gift.

If you have any questions, please do not hesitate to contact a member of the Foundation Team, 860-714-4900.

Have a great day!

Your Friends at the Saint Francis Foundation

Step 1: (* denotes required fields)

First Name: *
 Last Name: *
ColleagueID: *
 Email: *
Phone Number: *
 Dept. Name: *
Employer: *





 Shift:


Step 2: Designation *

Area of Greatest Need
The Colleague Fund - Children's Scholarship, Food Bank, Colleague Emergency Loan Fund and Area of Greatest Need
Regional Saint John's Bible Ministry Program
Trinity Health Of New England Assistance Fund
Nursing Education Fund
Specific area of care:
I want my gift to honor a colleague:
      Name:
      Department:

Step 3: Contribution

1. Payroll Deduction
I wish to contribute via PAYROLL DEDUCTION.
I authorize my PAYROLL DEDUCTION of $ per Pay Check (every two weeks).
I wish to change my current PAYROLL DEDUCTION as of to $ per Pay Check (every two weeks).
I authorize a onetime PAYROLL DEDUCTION of $.
2. ETO Donation
I would like to make a non-reversible donation of ETO hours. (ETO hours must be donated in 8 hour increments. A minimum of 80 hours worth of ETO - based upon scheduled hours - must be maintained in your account balance after the donation is made. Giving option will expire before calendar year end.)
3. One-Time Contribution
CHECK (Payable to Saint Francis Foundation) in the amount of $ will be mailed directly to the Foundation Office, 95 Woodland Street, 2nd Floor Hartford, CT 06105
4. Credit Card Donation
I would like to donate $ per



5. Appreciation Gifts
Gifts of $100 or more receive a hospital specific "got spirit?" unisex t-shirt.