Good Samaritan HOPE Campaign

2018 GS HOPE

Personal Information
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Gift Information
I would like my tax-deductible gift to be (select one):
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I would like to continue my pledge for additional years:
I would like my gift to support:
Please select the area(s)/program(s) you would like your gift to support. If you select multiple areas/programs, your total donation will be divided equally between all funds selected. **NOTE** Undesignated funds will go toward the Area of Greatest Need. Thank you!
GOOD SAMARITAN FUND: Department Directors are contacted by their employee experiencing an emergent need, tragedy or other pressing circumstances. The majority of these funds are raised by our employees through this annual campaign. The money is placed in a special fund for Good Sam Fund use only. Last fiscal year, $3,770.00 was distributed to our fellow employees through the Good Samaritan Fund.
FAMILY ASSISTANCE FUND: A fund to help patients and their families with needs related to their medical care. This is a program funded, almost entirely, through the Employee Campaign. It is used to help patients and their families with needs related to their medical care, such as medications, Hipsley House accommodations, travel and meals. Last fiscal year, the Family Assistance Fund distributed $2,400.00 to those in need.
AREA OF GREATEST NEED: Are you undecided about where you want your gift to go? Would you rather that we use your contribution where it is needed most? Unrestricted dollars will be used for hospital programs and projects where the need is the greatest.
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