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Thrive on $5 2021
First Name
Last Name
Email
Phone Number
Address
District 6 School/Department
Centennial
Dos Rios
Ann K. Heiman
Jackson
Madison
Maplewood
Billie Martinez
McAuliffe
Meeker
Monfort
Scott
Shawsheen
Romero
Chappelow
Brentwood
Franklin
Heath
Jefferson Jr.
Prairie Heights
Greeley Central
Greeley West
Northridge
Early College Academy
Jefferson Sr.
Fred Tjardes School of Innovation
Frontier Academy
Salida del Sol
Union Colony Elementary
Union Colony Secondary
University Schools
West Ridge Academy
Dept. of Learning Services
Dept. of Communications
Dept. of Academic Achievement
Facilities
Dept. of English Language Development
Cultural Excellence and Family Engagement
College & Career Readiness
Athletics
Federal Programs and Grants
Finance
Health Services
Human Resources
Information Technology
Media Production
Nutrition Services
Professional Development & Instruction
Records & Transcripts
Safety & Security
Service Center
Special Education
Student Wellness
Transportation
Worksite Wellness
Other (please specify)
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Other
Have you given previously, or are you currently giving to the Success Foundation Serving Greeley-Evans Schools?
Yes, but I would like to give again or change my current giving
No
I can't remember
How would you like to donate?
Pay online with credit card (one-time gift)
Payroll deduction (one-time or monthly)
Check
Cash
Payroll Deduction - Please choose one of the three payroll deduction options:
Thrive on $5 - This option will deduct $5 from your paycheck each month
Monthly Payroll Deduction (Custom Amount)
One-Time Payroll Deduction (Custom Amount)
How much would you like automatically deducted from your paycheck every month?
How much would you like automatically deducted from your paycheck as a one-time gift?
Checks
I will give my check to my Thrive on $5 Representative
I will mail my check to the Success Foundation: 1025 Ninth Ave. Greeley, 80631
I will give my cash to my Thrive on $5 Building Representative by February 28th
By submitting this form, you understand that you are providing your official signature and approval for District 6 to deduct the amount you have indicated from your paycheck and be donated to the Success Foundation
Clear
How much would you like to donate? To be eligible for Thrive on $5 Incentives, you must donate at least $60
$
Submit
