Tuition Deduction

This form authorizes St. Olaf College to withhold the specified amount of money from my earnings to apply to the account of the specified student's tuition. This payroll deduction is to be effective with the date selected below. You can also use this form to change or cancel an existing payroll deduction.
Your name*
First Last
Your Employee Number*
If you do not know your employee number, you may find it at Employee Self Service under "Job Profile".
Your email address*
Are you here to create, change, or cancel a payroll deduction?*
- Create a new payroll deduction
- Change an existing payroll deduction
- Cancel an existing payroll deduction
Amount of money to withhold*
Is this amount being deducted One Time or Per Pay Period?*
- One Time
- Per Pay Period
Student's Name*
First Last
Date payroll deduction (or deduction cancellation) will go into effect*
This deduction will continue through May 31 of the academic year unless canceled.
Date Format: MM slash DD slash YYYY