THANK YOU for partnering with us in our mission of Healing, Teaching and Preaching by making a payroll donation to our NEA Baptist Charitable Foundation. 

Your generosity enables us to to provide much needed medical care, patient assistance, grief counseling, employee emergency assistance, medical enhancements, continuing education for our medical staff and much more. All funds raised are used to benefit our Northeast Arkansas community. 

Choose your selection below*
amount to be deducted per pay period
amount to be deducted from a single pay period
# of hours to be deducted from a single pay period
Please specify what change(s) to apply to your current payroll deduction
Please select your gift designation(s) - up to 3

Employee Information

found on the back of Baptist ID Badge
For example, Mr, Mrs, Ms, Dr
Name*
Home Address*

By submitting this form you authorize Baptist Memorial Health Care Foundation to payroll deduct your selection and agree to the following:

Recurring (Per Pay Period) deductions will continue unless otherwise specified in writing and submitted the Baptist Memorial Health Care Foundation.  

Personal Time Off (PTO) hours will be deducted from current available balance. The cash value (number of hours x hourly rate of pay minus taxes) will be the amount donated.
Once donated these PTO hours are no longer available for personal use and 40 hours of PTO must be maintained to make the donation valid.

All personal information is confidential.  

The Baptist Memorial Health Care Foundation does not provide goods or services as whole or partial consideration for any contribution.

Cancel
Confirm