Saint Francis Foundation

Spirit of Giving Donation

Dear Colleague,

Thank you so much for supporting the Colleague "Spirit of Giving" Campaign. As a team, we are able to accomplish so much together for our patients and our community. Please complete the information below to begin the donation process. If you would like a hard copy Pledge Form, please email foundation@trinityhealthofne.org.  We truly appreciate your thoughtful gift.  Please note that PTO donations are no longer accepted.

Have a great day!

Much appreciation from your friends at the Saint Francis Foundation

PS  Any questions, please call the Foundation at 860-714-4900 or foundation@trinityhealthofne.org.

Step 1: Please select how you would like to make your donation

Credit Card Payment Payroll deduction or Check

Step 2: (* denotes required fields)

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





 Shift:


Are you paid by Livonia? *

Home Address:

Address: *
City: *
State: *
 Zip: *

Step 3: Designation * (please select one)

Step 4: Honor A Colleague


      Name:
      Department:

Step 5: Contribution (Please select one)

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. 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
3. Appreciation Gifts
Gifts of $100 or more receive a hospital specific "got spirit?" t-shirt. (while supplies last)