Survey - Ochsner Employee Giving Form - Ochsner Clinic Foundation

Choose the area that you would like to support from the drop down below. Thank you for your thoughtful generosity!

Please note, this option is not available for Ochsner LSUH employees. If you would like to contribute, please click here.

Gift Designation

Choose an area to support:

Question - Not Required - Designee Text Field

(Maximum response 255 chars, approx. 5 rows of text)

Type of Gift

*

Question - Required - Please choose one of the following:

Make this a payroll deduction (bi-weekly)

Donate the cash value of GPT/Vacation hours (enter the number of hours below)

*Your payroll deduction will automatically continue every year, and you will not need to take any further action unless you choose to opt-out by contacting the Physician and Employee Giving team at employeegiving@ochsner.org.

*Rush Legacy hours cannot be donated.

Please click here to pay by card.

Gift Amount

*

Question - Required - Amount: (Enter the number of hours or the bi-weekly payroll deduction amount)

For payroll deduction, enter the bi-weekly payroll deduction amount and not the total yearly amount.

Gift Options:

Question - Not Required - Would you like to remain anonymous from public recognition?

Personal Information

Please fill out your personal information below (required):

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Country: Required

Phone Number:

Please check this box to receive or continue receiving periodic email updates from Ochsner Philanthropy about the impact of your generosity.

Keep me logged in. What's this?

If you do not see the fund you would like to support, please click here.

Ochsner Employee Giving Form

Gift Designation

Type of Gift

Gift Amount

Gift Options:

Personal Information

Begin Typing to Search