Western Alumni

Monthly Payroll Deduction for Western Faculty & Staff

No one knows Western's strengths - and current needs - like you, our faculty and staff. By supporting the University through payroll deduction, you demonstrate to others the value you place on this institution not just as an employer but as an important contributor to society.

Faculty and staff give to Western in a variety of ways for unique reasons. Every gift - regardless of size - makes a difference to the University.

Please note: in each section below an asterisk (*) indicates a required field.

About You

Title

First Name

Middle Name

Last Name

Street 1

Street 2

City

Province/State

Postal Code

Country/Region

Phone number

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Western Employee Number

In addition to being a Western faculty or staff member, do you have any other relationship to the University? Please check all that apply.

Alum
Parent
Student

If you are a Western alumna or alumnus, please indicate your degree and grad year (i.e. BA'78).

If you are a parent of a Western student, please provide your daughter's or son's name and current year of study:

Your Western Contact Information

Department Name

Room Number & Building

Western Phone Number

Western Email Address

Your Gift

Monthly Gift Amount

Duration of Monthly Gift

Designate my gift as follows

I want my gift to remain anonymous.

Yes
No

If you have selected 'no' to the question above, please enter your name as you would like it to appear for donor recognition purposes.

Tribute Information

Is this gift in honour or memory?

Yes
No

Honoree's Name

If you know the contact information of the family or individual you would like notified of this gift, please enter it below

Message to honoree or family member

Western University, Department of Alumni Relations & Development
Westminster Hall, Suite 110
London, Ontario, Canada, N6A 3K7
Toll-free: 1-800-258-6896
alumni@uwo.ca