Making your donation

Your department coordinator will give you a Scantron along with a Tribute handbook. When filling out the Scantron, use a pen with blue or black ink and be sure to completely darken the boxes.

1. Use the numbered chart below as a guide to filling out your scantron.
2. Write your employee number (six digits) in the blank boxes under “Employee Number.” If your number is only five digits, insert a zero in the first space on the left. Fill in corresponding number blocks.
3. Write your department number in the blank boxes under “Dept. Number.” Fill in corresponding number blocks.
4. If you would like to contribute 1 percent of your salary, darken the “Yes” square in the 1% Club box. If you would like to contribute more than 1 percent, darken your choice under “Above and Beyond Club.”
5. Darken the block that corresponds with your payment option.
6. Write the agency name on the “Name of Agency” line. Write the agency code in the blank boxes under “Agency Code.” (See CMC Agency List, pages 6-11.) Fill in corresponding number boxes. If you make a mistake darken the “Void” box.
7. Write the amount contributed in the blank boxes under “Amount.” Fill in the corresponding number blocks. Repeat steps 5-6 for each agency.
   If you would like to be acknowledged by the agencies, darken the “Yes” block at the bottom left of the form.
8. In the box at the bottom right of the form, write the total amount of your pledge. If you chose biweekly deductions, multiply by 16 to get the total amount.
   Be sure to sign and date the form. Return to your coordinator with check or money order if needed. Paper clips only, Do not staple.