I Give for Team DPS
Employee Giving Campaign
When: November 7 - December 9, 2016
Extraordinary education starts with us
Every educator at Denver Public Schools is invited to join our annual employee
giving campaign by making a personal contribution.
By making a voluntary philanthropic donation, you send a powerful
message to our colleagues and community about the importance of a strong
public school education. Your gift of any size shows that you are proud to
play for Team DPS! Most importantly, your donation benefits the nearly 200
schools and more than 90,000 students in DPS.
I Give for Team DPS
3 Ways to Donate
1
Payroll Deduction: don’t worry about
donating a lump sum— spread your gift
and support of DPS students year-round
in smaller, more manageable monthly
contributions
2
Online: make a secure donation any time
3
Mail: fill out the employee giving
at dpsfoundation.org/donate/teamdps/give
donation form and mail with your check
to the DPS Foundation, 1860 Lincoln St.,
9th Floor, Denver, CO 80203
“
because...
Our students deserve the best!
I know that I can play an even
bigger part of their success by
supporting I Give for Team DPS. I was once in the shoes
of a DPS student. I love that I can give back to the
community that gave so much to me. The DPS
Foundation makes it easy to contribute, especially with
the monthly payroll deduction option. I’ve been a part of
the campaign for three years, and I encourage all of Team
”— Diane Gomez,
DPS to join me.
Regional Coordinator with the Office of Family
and Community Engagement
Read Diane’s full story at
dpsfoundation.org/stories
All DPS Foundation initiatives are closely aligned with the Denver Plan 2020,
the bold strategic plan for DPS to help ensure Every Child Succeeds!
Plus, all gifts made to the DPS Foundation are tax-deductible!
Questions about the campaign?
Contact [email protected] or (720) 423-2451.
Designate Your Gift
Donor Information
Mr.
Mrs.
Ms.
Please select one fund where you would like your gift to go.
Dr.
First Name_______________________________________________
Area of Greatest Need
Last Name________________________________________________
A to Z Fund
Employee ID Number______________________________________
Afterschool Programs *
Title_____________________________________________________
Career and Technical Education
School/Department________________________________________
Each One Teach One
Email____________________________________________________
Fit, Fun & Literacy *
Home Address____________________________________________
Leadership Development
City, State, Zip____________________________________________
Middle School Sports *
Mobile Phone_____________________________________________
STEM
Work Phone_______________________________________________
I am a DPS Alum__________________________________________
* Gifts of $100 or more restricted for afterschool programs may be eligible for
a 50% Colorado state income tax credit. Please consult with your tax adviser
about the tax-deductibility of your gift. Visit www.dpsfoundation.org/taxcredit
for full details.
School/Grad Year________________________________________
I am a DPS Parent_________________________________________
Signature (Required)______________________________________________
Date______________
Selected Donation Option:
Payroll Deduction:
I authorize the following deduction to go to Denver Public Schools Foundation, deduction code: MDPS.
Effective Start Date of Deduction___________________
End Date (Optional)______________________
$100 per payroll ($1,200 / year)
$25 per payroll ($300 / year)
$5 per payroll ($60 / year)
$50 per payroll ($600 / year)
$15 per payroll ($180 / year)
Other: $_______ per payroll x 12 = $_______ / year
I hereby authorize Denver Public Schools to make the following deduction from my wages for each pay period. This withholding should begin immediately and end
(as applicable) as indicated above. I understand that to revoke this authorization I must submit the revocation in writing to Denver Public Schools and that it will
become effective after receipt and processing by Denver Public Schools. Nothing in this authorization shall be construed to limit the at-will employment relationship
between myself and Denver Public Schools.
Online: dpsfoundation.org/donate/teamdps/give
One-Time Gift:
I wish to make a one-time gift. My gift is enclosed in the amount of $________________
Check: made payable to Denver Public Schools Foundation
Credit Card:
Visa
MasterCard
Discover
Card #___________________________________________
American Express
Exp. Date_____________
CVV #___________
Please Return This Signed Form By:
Email: [email protected]
Mail: 1860 Lincoln St., 9th Floor, Denver, CO 80203
Fax: (720) 423-3968
Questions? Contact [email protected] I (720) 423-2451
The DPS Foundation is a 501(c)(3) nonprofit organization. Please consult with your tax adviser about the tax-deductibility of your gift.
DPS FOUNDATION USE ONLY:
Received By___________________ Date:______________
TDPS16 GEN