Employees wishing to use payroll deduct should use the form on the Employee Portal. It is located at the bottom of the page under Category Filter "Funds and Donations."

Should you have any questions or issues with this form please contact the Advancement Office at advancement@dcds.edu.

First Namerequired

Last Namerequired

Addressrequired

Address Line 2

Cityrequired

Staterequired

Ziprequired

This address is for my...*

Home Business Other

Home Phonerequired

Cell Phone

Office Phone

Email required

Alumni Class

I belong to the class of:

Gift Designation*

Clicking on the various selections will reveal additional information regarding that selection. You have the option of changing your selection. Any gift designation can be made as an honor or memorial gift. Please indicate which area you would like to make your gift:

Annual Fund Endowment Gifts in Honor of Frank Orlando Chris LeFlore Fund - Restricted for students in financial need for expenses outside of tuition Brett Salamin Jr. Fund - Restricted for students of current faculty and staff for expenses outside of tuition Path of Excellence Engraved Commemorative Brick Pavers Recognition Bench

*Please note naming opportunities for Recognition Benches are $5,000 each.

For a minimum gift of $25 per honoree, your recipient will receive a personalized card, which may include your special message to let them know how they have made a difference. 100% of the gifts to the Honor a Teacher Campaign go towards the DCDS Annual Fund.

The name(s) of the teacher or teachers I would like to give in honor of:required

Optional Personalized Message

Length of message subject to approval.

Optional Personalized Message

If honoring multiple teachers please list below with the corresponding message.

Donation Distribution

If giving to more than one area, please indicate how much of the total donation should be distributed to each area

Name of Fund Designation:required

Annual Fund Gifts

Gifts to the DCDS Annual Fund help us provide an education above and beyond what tuition can secure. Annual Fund gifts support the people, programs, and property of DCDS through underwriting annual operating budget expenses.

Annual Fund gifts can be made to the areas of greatest need through General Support or directed to our three main pillars of Academics, Art, and Athletics. There are also other options as part of our special projects area.

See Annual Fund giving levels.

Endowment Gifts

Gifts to DCDS Endowment Funds help us provide for the long term sustainability of the school with a goal of perpetuity. Endowment gifts support the people, programs, and property of DCDS through the income earned on the invested funds in accordance with the school’s endowment policy.

Endowment Fund gifts can be made to the areas of greatest need through General Endowment or directed to our three main pillars of Academics, Arts, and Athletics or our Guided Tuition (need based financial aid).

Annual Fund optionsrequired

Please select the Annual Fund option of your choice.

Endowment Optionsrequired

Please select endowment option of your choice

Name of Endowmentrequired

Is this a payment on a previous pledge?*

Yes No

Brick Paver Choice*

Please choose the commemorate brick paver size

$100 gift for 4" x 8" commemorative paver $250 gift for a 6" x 12" commemorative paver $500 gift for a 12" x 12" commemorative paver I would like my brick to be placed in the Circle of Champions for All-State and All- American athletes. Please contact me with details.

Brick Paver Size 4" x 8"	Max 3 lines of text Max 14 characters per line Max 42 characters per brick
Brick Paver Size 6" x 12"	Max 4 lines of text Max 17 characters per line Max 65 characters per brick
Brick Paver Size 12" x 12"	Max 7 lines of text Max 17 characters per line Max 115 characters per brick

Paver Inscriptionrequired

Character count includes spaces and punctuation. If you would like to gift more than one commemorative brick, please complete separate form.

Paver Inscriptionrequired

Character count includes spaces and punctuation. If you would like to gift more than one commemorative brick, please complete separate form.

Paver Inscriptionrequired

Character count includes spaces and punctuation. If you would like to gift more than one commemorative brick, please complete separate form.

Payment Method*

I would like to use my American Express, MasterCard, or Visa I would like to make a gift of securities I would like to send a check for my donation

Donations paid by check will be placed in our system as a pledge until the check is received.

Honor a Teacher amountrequired

This program defaults to a minimum $25 per teacher honored. Please note it is $25 per teacher. The amount total in the box can be adjusted to higher amounts.

Amount required

IMPORTANT: Enter the amount of your one-time gift OR enter the amount you would like to give each time on a recurring monthly or annual basis. Then, please select "one-time" or "recurring" in the Payment Options area below. If you choose "recurring", you will then be asked to provide the frequency and number of payments you wish to make with your credit card. This amount applies to all designations except the Honor a Teacher program.

Request for credit card information on a following page will be made once you finish filling out the fields on this form and hit SUBMIT at the bottom.

Remember when sending in a check, please complete this form, hit SUBMIT, then print your email confirmation and send with your check made payable to DCDS.

Transfer Appreciated Securities - You can donate shares of stocks or mutual funds to Detroit Country Day School. Please initiate using the following instructions:

DTC Eligible (Depository Trust Company)

Agent #10048,
DTC #2305-Huntington National Bank,
Trust Account Name - Cash Management
Trust Account #1041012134

Non-DTC Eligible

Huntington Bank
Email: Mutual.fund.trading@huntington.com
Information Needed:
Mutual fund ticker symbol
Trust Account Name - Cash Management
Trust Account number #1041012134

* Please notify Dennelle Cicotte by email at DCicotte@dcds.edu when you initiate the transfer of the securities. This is our only way of identifying who the gift is from and allowing us to record and recognize your gift appropriately.

Gift Matching

My gift will be matched.

yes no

Employer Name

Match amount

Please indicate the amount of the matching gift from your employer.

Donor Recognition Namerequired

Please indicate how you would like your name to appear in all published donor lists. Please put "anonymous" if you prefer not to be listed on any donor lists.

This gift is an(a):

Honorarium Memorial

This gift is given in honor of:

This gift is given in memory of:

Honor or memorial gift notification

Please indicate a name and address of individuals you would like notified of your gift.

Once you click on the SUBMIT button, you should receive a copy of your completed form via e-mail for your records. If you do not receive an email with a copy of your submission, please contact Tina Blank at TBlank@dcds.edu

Important Notice:This form is primarily used for credit card, stock, and/or security donations. Friends of the Arts Lifetime Membership pledge payments should be made through the FOA Membership form.

Faculty and staff wishing to use Payroll Deduction, can log into the Faculty and Staff Portal to complete their specific Payroll Deduction form.

Payment Options

Thank you for your commitment to Detroit Country Day School! The blue field below should show the total from the amount field above. You do not need to enter an amount there. Please allow a few moments for the credit card payment page to load once you hit the "Proceed to payment" button. Thank you.

I will be paying a charge of $ for months for an overall total of $ for years for an overall total of $ beginning with a charge today of $

Remaining payments will take place between and with the next payment occurring on

You can cancel your subscription by emailing advancement@dcds.edu or calling 248-430-2301

Please send a confirmation email to the address below*: