Employee Giving Opportunies & Fund Descripons AED Fund Provides Automated External Defibrillators (upon request and approval) to local not-for-profit schools and other organiza ons. April’s Angels Fund Provides financial assistance to Conway Regional Health System pa ents and families who are experiencing financial hardship due to an unforeseen diagnosis of cancer. Benevolence Fund Provides financial assistance to Conway Regional Health System employees in emergency situa ons. Diabetes Program Fund Provides diabetes-related educa onal materials, equipment and programs to the community. Eleanor Duncan Oncology Nursing Scholarship Fund (Endowed) Provides aid to a Conway Regional Health System employee, or family member of an employee, pursuing a career in oncology nursing. A defined corpus is maintained and only proceeds from the investments are allocated to recipients. Emergency Room Fund Provides funding for equipment for and renova on of Conway Regional’s Emergency Department. Endowment Fund Dona ons to this fund are invested according to the approved Conway Regional Health Founda on investment policy and are an investment in the future of Conway Regional Health System. Fabulous You Bou$que Fund Provides free educa onal materials and services to female pa ents undergoing radia on or chemotherapy helping them feel be+er. Fitness Center Assistance Fund Provides financial support for medically-necessary nutri on and fitness programs through Conway Regional Health & Fitness Center. Guesthouse Fund Provides temporary housing for families who have a family member hospitalized at Conway Regional. Home Health Fund Provides funding for equipment and materials for Conway Regional’s Home Health Department. Imaging Fund Provides funding for equipment and materials for Conway Regional’s Imaging Department. Indigent Care Fund Provides financial support for qualified medical expenses for uninsured or underinsured pa ents of Conway Regional Health System. James Garrison Scholarship Fund (Endowed) Provides aid to a student pursuing a career in a health-related field (emphasis on radiology). A defined corpus is maintained and only proceeds from the investments are allocated to recipients. Mary Ann S$efvater Medical Informa$on Scholarship Fund Provides aid to a student pursuing a degree in Medical Informa on and Records. Nursing Scholarship Fund Provides aid to a Conway Regional Health system employee or their family member pursuing a degree or cer ficate in nursing from an accredited nursing ins tu on. Oncology Program Fund Provides educa onal materials, equipment and cancer-related programs to the community. Pediatric Fund Provides pediatric-specific equipment and materials for the Health System as well as toys for pediatric pa ents in the emergency and pa ent rooms. Perinatal Bereavement Fund Provides support for families who have experienced the tragic loss of an infant during pregnancy, s ll birth or a/er birth. Rehabilita$on Hospital Fund Provides funding for equipment and materials for Conway Regional’s Rehabilita on Hospital. Senior Services Fund Provides funding for equipment and materials for Conway Regional’s Senior Care (TCC) Department. PLEDGE FORM I, _________________________________________________, authorize the following dona on to Conway Regional Health Founda on. Signature Printed Name: ________________________________________ Employee Number: _______________________________ Department Name:__________________________________________ Date: ____________________________________ Pledge Type and Amount: $_________ Per pay period (minimum of $2.00 required) _________ Vaca on hours (a max contribu on of 24 Vaca on/Holiday allowed hours per year) $_________ One- me dona on Fund Designaon(s): ____ AED Fund ______ Imaging Fund ______ April’s Angels Fund ______ Indigent Care Fund ______ Benevolence Fund ______ James Garrison Scholarship (Endowed) ______ Diabetes Program Fund ______ Mary Ann S efvater Medical Info Scholarship ______ Duncan Nursing Scholarship (Endowed) ______ Most needed ______ Emergency Room Fund ______ Nursing Scholarship Fund ______ Endowment Fund _____ Oncology Program Fund ______ Fabulous You Bou que Fund ______ Pediatric Fund ______ Fitness Center Assistance Fund ______ Perinatal Bereavement Fund ______ Guesthouse Fund ______ Rehabilita on Hospital Fund ______ Home Health Fund ______ Senior Services Fund Important Noce: Per pay period deduc on authoriza ons remain in effect un l cancelled in wri ng by the employee.
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