Every Dollar You Give Will Make a Difference!

On October 13, we kick off our annual Combined Charities Campaign. This is a great opportunity for HISD employees to come together in support of a wide variety of local, state, national, and global nonprofit organizations. The generosity of the people here at HISD is impressive all year round – it’s evident in all the ways, both big and small, that you share your time, expertise, and resources with those who need them. The Combined Charities Campaign in past years has resulted in hundreds of thousands of dollars being contributed to meaningful and worthy causes. These contributions can make a real impact, whether here in Houston or halfway around the world.

The organizations included in the Combined Charities Campaign provide a broad range of services – from help for families suffering economic hardship or recovering from natural disasters; to global education, healthcare, and social justice initiatives; to environmental projects aimed at keeping our planet safe and healthy for our children and theirs, for generations to come. Everyone can find an organization in this campaign that serves a cause close to their heart.

And making a contribution has never been simpler. The online payroll-deduction pledge system makes it easy to contribute and ensures your privacy. If you have any questions, your Combined Charities Campaign coordinator can help you understand how the campaign works and how to navigate the online system.

Individually, we may not feel like we can do all that much. But together, when we combine our resources, we can help change the world for the better.

Thank you for your participation.

Terry B. Grier, Ed.D. Superintendent of Schools

How To Contribute—Easy As 1-2-3 1 Select Charity Select a charity for donations by clicking on the charity’s name. The charity will appear in a list box for your review. You may

select as many as you like. To make your pledge, click “Continue.”

2 Payment Options You will be able to view your selected charities. Please note: Only charities with contribution amounts will be recorded

and processed.

Pledge/Payment: Select one of the two payment options in the drop-down box for each charity to which you wish to contribute. The amount should be entered in whole dollars with no dollar sign or decimals.

There is a minimum donation of $2 (two dollars) for each payment option.

• 26-Payroll Deductions (Option-1)

By selecting this option, your donation will be deducted on every paycheck in the 2015 calendar year.

• One-Time Payroll Deduction (Option-2)

By selecting this option, your full donation will be deducted on your 1/14/15 paycheck (or the payday containing your first earnings of 2015).

• Pledge Amount

Place the amount you wish to contribute in the “Amount” box. Your pledge amount is calculated once you click “Update.” A “Grand Total” is calculated at the bottom of the page.

• No checks or cash are accepted

3 Review and Submit Confirmation/Receipt

• “I would like a confirmation e-mail sent from HISD.” Check this box to receive an e-mail confirmation from HISD.

• “I would like a confirmation receipt mailed to me from the charities listed above.” Check this box to receive an acknowledgement from the federation handling payment to your selected charities. Click on “edit address” to update your address.

Submit Donations • Review pledge form and click the “Submit Donations” button. You will automatically see a confirmation page to

confirm your participation.

Note: If you choose not to contribute to the campaign, please select the specified check box on the CCC home page. This information is kept confidential and will not appear in any reports. It is used solely to ensure that all employees have been given the opportunity to participate.

HISD Combined Charities Campaign WebsiteTo access the HISD Combined Charities Campaign website:

n Click on the Combined Charities Campaign link on the HISD website homepage (www.HoustonISD.org)

n Visit www.houstonisd.org/portal/site/CombinedCharities; orn On HISD website, select “DEPARTMENTS”, then click on “S” for Strategic Partnerships then select

“Combined Charities” on the left hand side of the page.

0000 HISD FoundationThe HISD Foundation supports education in the largest public school district in the state and the 7th largest in the nation. The HISD Foundation partners with the district to secure private support manage funds and provide donor accountability. The Foundation’s fundraising efforts focus on institutional priorities set by the superintendent of schools and board of education. Funds raised by the HISD Foundation provide resources to advance the core initiatives of the district’s Strategic Direction. The Foundation is a separate 501(c)(3) nonprofit governed by a volunteer board of business, community and philanthropic leaders.The Foundation’s core programming is aligned with the district’s Strategic Direction and five core initiatives: Effective Teacher in Every Classroom, Effective Principal in Every School, Rigorous Instructional Standards and Supports, Data-Driven Accountability and Culture of Trust through Action.0000 HISD Foundation0004 HISD Foundation Student

Scholarship Fund

0100 Earth Share of TexasOne gift supports the work of all participating charities working to protect natural resources, public health and quality of life.0101 African Wildlife Foundation0102 American Farmland Trust0103 American Forests0195 Arbor Day Foundation0106 Audubon Foundation of Texas0184 Austin Parks Foundation0115 Austin Youth River Watch0180 Bat Conservation International0107 Bayou Preservation

Association0131 Beyond Pesticides0151 Bike Texas Education Fund0198 Blackland Prairie Raptor

Center0110 Center for Health,

Environment, and Justice0109 Center for Maximum Potential

Building Systems, Inc.0185 Children’s Environmental

Health Institute0111 Citizens’ Environmental

Coalition0112 Clean Water Fund of Texas0199 Colorado River Alliance0155 Conservation Fund, The0113 Conservation International0114 Defenders of Wildlife0186 Earth Day Network0148 Earthjustice0100 EarthShare of Texas0117 Ecology Action of Texas

0118 Endangered Species Media Project

0119 Environment America Research and Policy Center

0120 Environmental and Energy Study Institute

0121 Environmental Defense Fund, Texas Officed

0122 Environmental Law Institute0182 Friends of Big Bend National

Park0123 Friends of the Earth0192 Galveston Bay Foundation0197 Greater Edwards Aquifer

Alliance0194 Guadalupe-Blanco River Trust0187 Hill Country Conservancy0127 Izaak Walton League of

America0196 Jane Goodall Institute for

Wildlife Research, Education and Conservation

0171 Katy Prairie Conservancy0129 Land Trust Alliance0130 National Audubon Society01A0 National Fish and Wildlife

Foundation0132 National Parks Conservation

Association0134 National Wildlife Federation01A3 National Wildlife Federation/

South Central Regional Center0135 Natural Resources Defense

Council0156 Nature Conservancy of Texas,

The0193 Ocean Conservancy, The01A1 Oceana Inc.0172 Peregrine Fund, The0137 Pesticide Action Network0139 Public Citizen of Texas01A4 Rails to Trails Conservancy0141 Rainforest Alliance0143 Rocky Mountain Institute0189 San Marcos River Foundation0145 Save Barton Creek Association0173 Save Our Springs Alliance0190 Scenic America0147 Sierra Club Foundation, Texas

Chapter0149 SPARK School Park Program0188 State of Texas Alliance for

Recycling (formerly Recycling Alliance for Texas)

0150 Student Conservation Association

0174 Surfrider Foundation0116 Sustainable Food Center0177 Texas Campaign for the

Environment Fund0136 Texas Parks and Wildlife

Foundation0154 Texas Solar Energy Society0160 TreeFolks, Inc.0158 Trust for Public Land, The0162 Union of Concerned Scientists0164 Westcave Preserve0159 Wilderness Society, The

0133 Wildflower Donor Inc. (Lady Bird Johnson Wildflower Center)

0165 Wildlife Conservation Society0179 Wildlife Rescue and

Rehabilitation0167 World Wildlife Fund

0200 Global ImpactGlobal Impact is a not-for-profit organization dedicated to helping the poorest people on earth. Global Impact represents more than 80 of the most respected U.S.-based international charities in workplace giving campaigns across the nation. Each year, Global Impact and its member charities touch more than 400 million lives in virtually every developing country through disaster relief, education, health training and economic programs that promote self-sufficiency.0201 ACCION International 0203 African Medical and Research

Foundation (AMREF)0204 Africare0206 American Jewish World

Service0208 American Near East Refugee

Aid (ANERA)0209 American Refugee Committee0210 AmeriCares0211 CARE0214 ChildFund International0257 Church World Service0256 CRWRC/World Renew0217 Doctors Without Borders/

Médecins Sans Frontières USA0258 ECHO0219 FINCA International0220 Freedom from Hunger0200 Global Impact0221 Health Volunteers Overseas0222 Heifer International0254 Helen Keller International0224 International Eye Foundation0246 International Orthodox

Christian Charities0242 International Relief Teams0226 International Rescue

Committee0227 Lutheran World Relief0249 Mercy Corps0213 Millennium Promise0229 OPPORTUNITY International0280 Pan American Development

Foundation0261 PATH0253 PCI-Media Impact0245 Plan USA0235 Project HOPE0247 Rotary Foundation of Rotary

International0250 Salvation Army World Service

Office (SAWSO)0236 Save the Children0270 SOS Children’s Villages- USA0255 TechnoServe0237 UNICEF, U.S. Fund

0238 Unitarian Universalist Service Committee

0251 United Methodist Committee on Relief

0239 United Seamen’s Service0275 Water For People0263 William J. Clinton Foundation0241 World Relief

0400 America’s CharitiesWorking to build strong communities. Addressing needs of children, families, communities through member programs, by helping employers and employees support our member charities’ programs.0400 America’s Charities 0402 American Center for Law and

Justice04A1 American Red Cross of Central

Texas0404 Amnesty International USA04A3 Animal Trustees of Austin0439 Austin Children’s Shelter04A5 Boy Scouts of America -

National Council0444 Breast Cancer Resource

Centers of Texas0448 Cancer Research and

Prevention Foundation (Prevent Cancer Foundation)

0433 Caring for Children Foundation of Texas, Inc.

0406 Catholics United for Life0451 Children’s Miracle Network

Hospitals0483 Diabetes Research and

Wellness Foundation0490 Diabetes Research Institute

Foundation, Inc.0484 Dress For Success Worldwide0411 Father Flanagan’s Boys’ Home0422 Feed The Children04A6 Fellowship of Christian

Athletes0415 Foster Care To Success

Foundation (formerly Orphan Foundation of America)

0441 Fund for Animals, The0410 Give Kids The World0488 Hole In The Wall Gang Fund,

The0405 Hospice America (American

Hospice Foundation)0412 Human Rights Campaign

Foundation0477 Humane Society of the United

States, The0491 ‘I Have a Dream’ Foundation®0424 LIVESTRONG Foundation

(Lance Armstrong Foundation)0414 Make-A-Wish Foundation® of

America0452 Melanoma Research

Foundation04A4 Mothers Against Drunk

Driving0493 NAACP Legal Defense and

Educational Fund

The following is a list of federations and the charities they support.To make your charitable contribution, use the federation or individual charity code from below as directed on the online pledge form. If you have any questions about the campaign or pledge form, contact your Combined Charities Coordinator.

0418 NAACP Special Contribution Fund

0419 NARAL Pro-Choice America Foundation

0420 National Black Child Development Institute

0494 National Down Syndrome Society

0496 National Organization for Rare Disorders (NORD)

0442 National Trust for Historic Preservation in the United States

0423 Native American Rights Fund0486 PetSmart Charities, Inc.0499 Reading Is Fundamental, Inc.

(RIF)0465 Ronald McDonald House

Charities®0438 Tuberous Sclerosis Alliance0489 VSA arts of Texas0430 Zero Population Growth

(formerly Population Connection)

0500 Thurgood Marshall College Fund

A national organization providing access to scholarships and programmatic support for 300,000 students attending 47 public historically black colleges and universities, many of which are first-generation college students.0501 Alabama A&M University (AL) 0502 Alabama State University (AL)0503 Albany State College (GA)0504 Alcorn State University (MS)0545 Bluefield State College (WV)0505 Bowie State University (MD)0506 Central State University (OH)0546 Charles R. Drew University

(CA)0507 Cheyney University of

Pennsylvania (PA)0543 Chicago State University (IL)0508 Coppin State University (MD)0509 Delaware State University (DE)0510 Elizabeth City State University

(NC)0511 Fayetteville State University

(NC)0512 Florida A&M University (FL)0554 Florida A&M University

College of Law (FL)0513 Fort Valley State University

(GA)0514 Grambling State University

(LA)0547 Harris-Stowe State University

(MO)0515 Howard University (DC)0539 Howard University Law School

(DC)0516 Jackson State University (MS)0517 Kentucky State University (KY)0518 Langston University (OK)0519 Lincoln University (MO)0520 Lincoln University (PA)0544 Medgar Evers College (NY)0521 Mississippi Valley State

University (MS)0522 Morgan State University (MD)0523 Norfolk State University (VA)

0524 North Carolina A&T State University (NC)

0525 North Carolina Central University (NC)

0540 North Carolina Central University Law School (NC)

0526 Prairie View A&M University (TX)

0527 Savannah State University (GA)

0528 South Carolina State University (SC)

0529 Southern University and A&M College (LA)

0552 Southern University at New Orleans

0553 Southern University at Shreveport-Bossier City

0541 Southern University Law School (LA)

0530 Tennessee State University (TN)

0531 Texas Southern University (TX)0542 Texas Southern University Law

School (TX)0500 Thurgood Marshall

Scholarship Fund0532 Tuskegee University (AL)0533 University of Arkansas at Pine

Bluff (AR)0534 University of Maryland,

Eastern Shore(MD)0535 University of the District of

Columbia (DC)0550 University of the District of

Columbia Law School (DC)0536 University of the Virgin Islands0537 Virginia State University (VA)0548 West Virginia State University

(WV)0538 Winston-Salem State

University (NC)0549 York College (NY)

0600 United Negro College Fund, Inc. (UNCF)

UNCF provides college scholarships and other financial support so that more than 60,000 deserving students each year can get the college education they need and want but cannot afford. Enhancing the quality of education by providing financial assistance, operating funds and increased access for students and faculty...because “A mind is a terrible thing to waste.”® Ninety percent of gifts given to UNCF are used for scholarships to support students attending HISD. 0641 Allen University (SC) 0602 Benedict College (SC)0603 Bennett College (NC)0604 Bethune-Cookman College

(FL)0605 Claflin College (SC)0606 Clark Atlanta University (GA)0607 Dillard University (LA)0608 Edward Waters College (FL)0609 Fisk University (TN)0610 Floria Memorial University0611 Huston-Tillotson College (TX)0612 Interdenominational

Theological Center (GA)

0613 Jarvis Christian College (TX)0614 Johnson C. Smith University

(NC)0616 Lane College (TN)0617 LeMoyne-Owen College (TN)0618 Livingstone College (NC)0619 Miles College (AL)0620 Morehouse College (GA)0622 Morris College (SC)0623 Oakwood College (AL)0624 Paine College (GA)0626 Philander Smith College (AR)0627 Rust College (MS)0628 Saint Augustine’s College (NC)0629 Saint Paul’s College (VA)0630 Shaw University (NC)0631 Spelman College (GA)0632 Stillman College (AL)0633 Talladega College (AL)0615 Texas College (TX)0634 Tougaloo College (MS)0635 Tuskegee University (AL)0600 UNCF-United Negro College

Fund, Inc.0636 Virginia Union University (VA)0637 Voorhees College (SC)0638 Wilberforce University (OH)0639 Wiley College (TX)0640 Xavier University (LA) 0700-1500 United Way of Greater

HoustonWe nurture children, create strong families, sustain senior independence, and support people rebuilding their lives. United Way is changing Houston for good.0728 AccessHealth (formerly Fort

Bend Family Health Center, Inc).

1502 Aid to Victims of Domestic Abuse (AVDA)

0756 Alliance for Multicultural Community Services

0701 American Cancer Society0702 American Red Cross—Greater

Houston Area Chapter0704 AVANCE, Inc.—Houston0705 Avondale House0706 BACODA-Bay Area Council on

Drugs and Alcohol, Inc.0707 Bay Area Rehabilitation Center0779 Bay Area Turning Point, Inc.0710 Big Brothers Big Sisters Lone

Star0711 Boy Scouts of America—Sam

Houston Area Council0780 Boys & Girls Clubs of Greater

Houston, Inc.0764 Bridge Over Troubled Waters,

Inc. ,The0712 Career and Recovery

Resources, Inc.0713 Catholic Charities of the

Archdiocese of Galveston-Houston

0765 Center for Hearing and Speech, The

0714 Center, The0717 Child Care Council of Greater

Houston, Inc.0718 Chinese Community Center0719 Colorado Valley Transit, Inc.0731 Community Family Centers,

Inc.

0738 Council on Alcohol and Drugs Houston, The

0720 Crisis Intervention of Houston, Inc.

0722 Denver Harbor Senior Citizens, Inc.

0723 DePelchin Children’s Center0770 Easter Seals of Greater

Houston0740 Evelyn Rubenstein Jewish

Community Center of Houston0724 Family Services of Greater

Houston0725 FamilyTime Crisis and

Counseling Center0726 Fifth Ward Enrichment

Program, Inc.0727 Fort Bend County Women’s

Center, Inc.0729 Fort Bend Regional Council

on Substance Abuse, Inc.0730 Fort Bend Seniors Meals on

Wheels & Much, Much More!0732 Girl Scouts of San Jacinto

Council0733 Good Neighbor Healthcare

Center0736 Houston Area Urban League0737 Houston Area Women’s

Center0784 Innovative Alternatives, Inc.0739 Interfaith Ministries for Greater

Houston0741 Jewish Family Service0742 Julia C. Hester House, Inc.0751 Legacy Community Health

Services, Inc.0767 Lighthouse of Houston, The0743 Literary Advance of Houston,

Inc.0787 Local Initiatives Support

Corporation0734 Lone Star Legal Aid0745 Mental Health America of

Greater Houston0749 Montgomery County Women’s

Center0752 Montrose Center0753 Multicultural Education and

Counseling Through the Arts (M.E.C.A.)

0754 Neighborhood Centers, Inc.0757 Salvation Army, The0758 San Jose Clinic0759 Santa Maria Hostel, Inc.0785 SEARCH Homeless Services0762 Spaulding for Children0763 Star of Hope Mission0782 Target Hunger0700-1500 United Way of

Greater Houston0771 University Speech, Language

& Hearing Clinic0773 Volunteers of America Texas0774 Wellsprings, Inc.0775 Wesley Community Center,

Inc.0769 Women’s Home, The0777 YMCA of the Greater Houston

Area

0800 Local Independent Charities of Texas

We share your gift among local independent charitable organizations helping children, the poor, the ill, the disabled, the elderly and others in need.0803 AIDS Foundation Houston,

Inc. 0806 Angel Flight0877 Animal Defense League of

Texas0815 Arc of Greater Houston0809 Arc of Texas0891 Buckner Retirement Services0869 Burn Survivors Throughout the

World0894 Campus of Hope0812 CanCare of Houston0892 Center for Public Policy

Priorities0854 Christian Community Service

Center0856 Guide Dogs of Texas0872 Harris County Drug Court

Support Foundation0857 Helping Restore Ability0873 Heritage Society0821 Houston Hospice0866 Houston SPCA0895 Houston Symphony Society0867 Houston Volunteer Lawyers

Program0887 Jazz Walk of Fame, Inc0800 Local Independent Charities

of Texas0836 Lutheran Social Services of the

South0889 Montgomery County

Homeless Coalition0851 Northwest Assistance

Ministries0874 Operation Homefront - Texas0852 Planned Parenthood Gulf

Coast0845 Planned Parenthood of

Greater Texas, Inc.0843 Rose, The0893 Shape Community Center Inc.0811 Sight Into Sound0890 Support Our Troops®, Inc. -

Texas Chapter0848 Tarrant Area Food Bank0849 Texas Association Against

Sexual Assault0886 Texas Council on Family

Violence0875 Texas Hearing and Service

Dogs0865 Texas Homeless Network0881 TOMAGWA Ministries Medical

Clinic0862 Write-Way Prison Ministries

0900-1000 Community Health Charities Texas (CHC)

Help fight the devastating diseases and chronic illnesses that affect nearly every family in the HISD community. CHC member health agencies are the premier charities in America, Texas and Houston, working to find the cause, cure and treatment for the diseases that touch the lives of your loved ones.

Your gifts support medical research, patient and family services, and public and professional education. Thank you for investing in the good health of your loved ones!0910 Ability Connection Texas 1013 AIDS Research Foundation

(amfAR)0909 ALS Association Texas

Chapter1001 Alzheimer’s Association,

Houston & Southeast Texas Chapter

1002 AMC Cancer Fund0902 American Cancer Society,

High Plains Division1003 American Diabetes

Association0904 American Heart Association

Southwest Affiliate1021 American Kidney Fund1049 American Liver Foundation

South Texas Chapter0953 American Lung Association0911 American Parkinson’s Disease

Association1005 Arthritis Foundation, South

Central Region0901 Autism Speaks0950 Be the Match Foundation1023 Cancer Research Institute0925 CaringBridge0929 Cerebral Palsy International

Research Foundation0930 Childhood Obesity - Alliance

for a Healthier Generation0905 Children’s Heart Foundation,

The0906 Children’s Tumor Foundation0931 City of Hope0932 Colon Cancer Alliance0900-1000 Community

Health Charities Texas1006 Crohn’s & Colitis Foundation

of America Houston/South TX Chapter

0913 Cystic Fibrosis Foundation, Texas Gulf Coast Chapter

1007 Easter Seals Central Texas1028 Endometriosis Association1008 Epilepsy Foundation Central &

South Texas0955 Huntington’s Disease Society

of America Texas Affiliate0922 JDRF International, Houston

Gulf Coast Chapter0923 Leukemia & Lymphoma

Society Texas Gulf Coast Chapter

0926 Lupus Foundation of America, Texas Gulf Coast Chapter

0927 March of Dimes Foundation, Texas

1051 Mental Health America of Texas

1009 Muscular Dystrophy Association

1033 Myasthenia Gravis Foundation of America

1034 NAMI Texas (National Alliance on Mental Illness)

1035 National Council on Alcoholism & Drug Dependence (NCADD)

1038 National Hemophilia Foundation Lone Star Chapter

1018 National Hospice and Palliative Care Organization

0954 National Kidney Foundation Texas

1011 National Multiple Sclerosis Society,Texas

1053 National Ovarian Cancer Coalition

0956 National Parkinson Foundation0914 National Psoriasis Foundation0907 Pancreatic Cancer Action

Network0945 Parkinson’s Disease

Foundation0915 Prevent Blindness Texas0962 Sickle Cell Association

of Austin, Marc Thomas Foundation

1054 Smile Train0957 Spina Bifida Association of

Houston Gulf Coast0948 St. Jude Children’s Research

Hospital0958 Susan G. Komen for the Cure

Houston Affiliate1052 Texas Scottish Rite Hospital

for Children0963 Tourette Syndrome

Association Texas

1200-1700 America’s Best Charities (Independent Charities of America)

Working to build strong communities. Addressing needs of children, families, communities through member programs, by helping employers and employees support our member charities’ programs.1252 Adoptable Children (North

American Council) 17G1 Adoption Center1725 Adoption Exchange1726 Adoptions by Cradle of Hope1298 Adventist Development and

Relief Agency International17G2 Aid for Starving Children1216 AIDS Treatment and Research

Information17C8 Alex’s Lemonade Stand

Foundation1747 Alliance for Cancer Research

and Support - VHL1202 Alzheimer’s Research

Foundation-Fisher Center1763 Alzheimer’s Research and

Prevention Foundation17H5 American Freedom

Foundation, Inc.17H6 American Humane Association17C9 American Indian College Fund17H7 American Library Association1200-1700 America’s

Best Charities (Indpendent Charities of America)

17H8 America’s VetDogs - the Veteran’s K-9 Corps, Inc.

1214 Amigos de las Americas17H9 Animal Slaughter & Child

Starvation Stop Here!

17J1 Armed Services Mutual Benefit Association STAR Foundation

1296 Asian Children’s Rescue & Relief Fund

1210 ASPCA: American Society for the Prevention of Cruelty to Animals

1729 “Autism Intervention and Treatment Research -- Organization for Autism Research”

17E0 Autism Society of America1205 Autoimmune Diseases

Association1744 Baptist Charities of America1745 Baptist Children’s Home

Ministries1793 Believe In Tomorrow National

Children’s Foundation1225 Best Buddies for Children with

Mental Retardation17H1 Bethany Christian Services17J2 Birth Defect Research for

Children, Inc.17A5 Black Charities for Children,

Families, Communities1779 Bone Marrow Donor Registry -

America1746 Boone and Crockett Club

Foundation17H2 Boys & Girls Clubs of America1208 Brain Tumor Association,

American (ABTA)1780 Breast Cancer African

American, Sisters Network17E2 Breast Cancer Crusade by

Avon1764 Breast Cancer Fund17G3 Buckner Children and Family

Services1781 C.A.S.T. for Kids Foundation1730 Cancer Coalition, The

National1782 Cancer Curing Society1783 Cancer Research Fund of

the Damon Runyon - Walter Winchell Foundation

17E3 Cancer Research, American Association for

1748 Canine Assistants1218 Canine Companions for

Independence1206 Canines for Disabled Kids1209 CASA–Court Appointed

Advocates for Abused Children

17C2 Catholic Relief Services - USCCB

17J3 Catholics For The Poor and Needy Worldwide

17J4 CHADD (Children & Adults with Attention-Deficit/Hyperactivity Disorder)

17E5 Challenger Center for Space Science Education

1765 Child Find of America1261 Child Rescue International1795 Childhelp®1767 Childhood Brain Tumor

Foundation17D0 Children of the Night1244 Children’s Angel Airlines17D1 Children’s Cancer Recovery

Foundation

1222 Children’s Defense Fund17J5 Children’s Fire & Burn Fund17D2 Children’s Hospital & Research

Center Foundation17D3 Children’s Hunger Fund1234 Children’s Medical Ministries1751 Children’s Organ Transplant

Association17J6 Christian Care International-

Food and Medicine for People In Need

1226 Chronic Fatigue and Immune Dysfunction Syndrome Association of America (CFIDS)

1268 Concerns of Police Survivors (COPS)

1732 Conservation and Protection of Public Lands

1768 Convoy of Hope1228 Cornelia De Lange Syndrome

Foundation1750 Correctional Peace Officers

Foundation17E6 Cure Alzheimer’s Fund17J7 Daniel Pearl Foundation1785 Diabetes & Immune Disease

National Research Institute1240 Diabetes Action Research and

Education Foundation1229 Disabled American Veterans

(DAV) Charitable Service Trust17E7 Disabled Children’s Fund17B8 Disabled Sports USA1283 Dogs for Disabled Americans

(NEADS)17G4 Domestic Violence Hotline,

National1248 Educate the Children1786 Equine Land Conservation

Resource1230 FACES: The National

Craniofacial Association1733 Family Violence and Sexual

Assault Institute1277 Farm Animal Reform

Movement (FARM)1797 Fisher House Foundation17E8 Foundation for Ichthyosis &

Related Skin Types, Inc.1735 FRAXA Research Foundation1269 Giving Children Hope17J8 Gluten Intolerance Group of

North America17B0 Graves’ Disease Foundation1770 Guide Dogs for the Blind, Inc,1270 Guide Dogs of America17A7 Habitat for Humanity

International1787 HawkWatch International17J9 Help the Children1217 Hepatitis Foundation

International1753 Herbal Medicine Institute1736 Hispanic Association of

Colleges and Universities1246 Hispanic Scholarship Fund17C6 Homes For Our Troops1798 Hope For the Hungry17E9 Hope For The Warriors17C7 Hospice Foundation for End-

of-Life Care1281 Hospice Foundation of

America

17F0 Hostelling International - USA17B2 Humane Farm Animal Care1256 India Partners17B3 Injured Marine Semper Fi

Fund17D5 Institute for Creation Research17G5 Institute for Financial Literacy,

Inc.17K1 Iraq and Afghanistan Veterans

of America, Inc.1272 Kidney Cancer Research and

Education Association1258 Leukemia Clinical Research

Foundation17D6 Lung Cancer Alliance1260 Lymphoma Research

Foundation17B4 MAP International1707 Mercy Medical Airlift1799 Methodist Mission Home17A8 Michael J. Fox Foundation for

Parkinson’s Research17K2 Military Child Education

Coalition17G6 Mr. Holland’s Opus

Foundation17K3 Multiple Sclerosis, Can Do1756 National Center for Missing &

Exploited Children1297 National Children’s Advocacy

Center17A2 Operation Compassion17K4 Operation Homefront1737 OrphanCare International1714 Parkinsons Research Center,

Michael Stern Foundation1789 PETA: People for the Ethical

Treatment of Animals1772 PKD Foundation1286 Planned Parenthood

Foundation1285 Public Employees for

Environmental Responsibility1773 Rape, Abuse, & Incest

National Network (RAINN)17A3 Restless Legs Syndrome

Foundation1204 Rocky Mountain Elk

Foundation1790 Seeing Eye, Inc.17F4 Skin Cancer Foundation1774 Southeastern Guide Dogs1719 Spay-Neuter Assistance

Program (SNAP)1290 Special Olympics, Inc.1720 Special Operations Warrior

Foundation17D9 Spinal Cord Injury Network

International17K5 Spondylitis Association of

America17F5 Suicide Awareness Voices of

Education1262 Sunshine Kids Foundation17C3 Support our Troops17C4 Thomas More Law Center1250 Transplants, The National

Foundation for1291 Vegan Outreach17K6 Veteran Tickets Foundation17C1 Veterans of Foreign Wars

Foundation17G9 WildAid, Inc.

1293 Wildlife Conservation Fund of America

1265 World Impact17F8 Wounded Warrior Emergency

Support Fund17H3 Wounded Warriors in Action

Foundation 1300 Neighbor To NationPeople in deed serving people in need, in our local communities, throughout America and the world. Providing life-sustaining assistance and hope for the future.1353 Adopt America Network 1301 AIDS Research Alliance of

America1351 Alpha-1 Foundation1355 American Family Association1344 American Foundation for

Suicide Prevention1345 Association of Christian

Schools International1356 Awana Clubs International1366 Biblica (formerly International

Bible Society)1305 Blessings International1372 Breast Cancer Charities of

America1350 Breast Cancer Research

Foundation, The1347 Children’s Food Fund/World

Emergency Relief1307 Children’s Hunger Relief Fund1333 Children’s Cancer Assistance

Fund (The National Children’s Cancer Society, Inc.)

1373 Christian Blind Mission1362 Christian Legal Society1364 Christian Military Fellowship1357 Christian Relief Fund1311 Focus on the Family1346 Gateway for Cancer Research

(formerly Cancer Treatment Research Foundation)

1313 Glaucoma Research Foundation

1314 Guide Dog Foundation for the Blind

1370 Home School Foundation1374 Hope for the Heart1375 Keep a Child Alive1367 Leukemia Research

Foundation1316 Lions Clubs International

Foundation1337 MAZON: A Jewish Response

to Hunger1319 Mercy Ships1335 Mexican Medical1320 Mission Aviation Fellowship1306 National Brain Tumor Society

(formerly Brain Tumor Foundation of America)

1376 National Day of Prayer Taskforce

1365 National Right to Life Educational Trust Fund

1368 Navigators, The1360 Nazarene Compassionate

Ministries, Inc.1300 Neighbor To Nation1352 Officers’ Christian Fellowship

1377 Operation Blessing International Relief and Development Corporation

1369 Osteogenesis Imperfecta Foundation

1322 Prison Fellowship Ministries1323 Samaritan’s Purse1339 Society of St. Andrew1326 The V Foundation1361 United Leukodystrophy

Foundation, The1342 Voice of the Martyrs, The1348 World Concern-A Division of

CRISTA Ministries1371 World Vision

1900 Children’s Charitable Alliance of Texas

Children are our future. Your gift will help support local children’s organizations to clothe, feed, protect, educate, and inspire children in our community.1939 Arrow Child & Family

Ministries 1947 Bereavement and Grief Camp

for Children - Camp Agapé1931 Birthright Humble1902 Boys and Girls Country of

Houston1963 Burke Center for Youth1920 CENIKOR Foundation1948 Child Advocates of Fort Bend1964 Child Advocates, Inc.1904 ChildBuilders1957 Children At Heart Foundation1905 Children’s Advocacy Centers

of Texas1900 Children’s Charitable Alliance

of Texas1932 Communities in Schools

Houston1949 Covenant House Texas1907 Dare to Dream Children’s

Foundation1959 Dynamic Kids1941 Family to Family Network1951 Foster’s Home For Children1933 Gracewood1914 Houston Can! Academy1952 Junior Achievement of

Brazoria County1954 Kids Count Foundation1916 Kids Sports Network1943 Methodist Children’s Home1944 Miracle Farm1935 Mother’s Milk Bank at Austin1921 Palmer Drug Abuse Program -

Houston1922 Prevent Child Abuse Texas1924 Ronald McDonald House

Charities of San Antonio1962 Ronald McDonald House of

Galveston1923 Ronald McDonald House of

Houston1937 Small Steps Nurturing Center1926 Special Olympics Texas1925 St. Jude’s Ranch for Children -

Texas Region1965 STARRY1938 Texas Baptist Children’s Home1928 Texas CASA1930 Writers in the Schools

It is the policy of the Houston Independent School District not to discriminate on the basis of age, color, handicap or disability, ancestry, national origin, marital status, race, religion, sex, veteran status, political affiliation, sexual orientation, gender identity and/or gender expression in its educational or employment programs and activities.

PLEASE PRINT ALL INFORMATIONEmployee Name: _____________________________________ _____________________________________________________Department/School Name: ____________________________ **MailingAddressforConfirmationReceipt _____________________________________________________ Street Address: ______________________________________Employee No.: _______________________________________ City, State, & Zip Code: _______________________________Dept./School Pay Location No.: _______________________ _____________________________________________________

To make your charitable contribution, print out this form, and choose one or more federation/charity from the 2015 Combined Charities Campaign Charity by Federation report on the HISD CCC website Quick Links. In the spaces provided below, write in the name and number of the federation/charity, indicate the method of payroll deduction payment, and the amount you wish to contribute. Make copies for additional contributions as needed.

*THISFORMISNOTNEEDEDIFDONATINGONLINETHROUGHTHECCCWEBSITE.If using this form, turn in to your department/school pay location coordinator to enter online by proxy.

PLEASEMAKEACOPYFORYOURRECORDS

HOUSTON INDEPENDENT SCHOOL DISTRICT

COMBINED CHARITIES CAMPAIGN · PLEDGE FORM*PLEDGEFORMMUSTBESIGNEDANDRETURNEDTODEPARTMENT/SCHOOLPAYLOCATIONCOORDINATOR

Charity Code #:

Payroll Deduction METHOD OF PAYMENT (Please check only one):

Name of Charity: ______________________________________________________________

One time Contribution $ ____________________________________________ X 1 = $ ________________________________ Amount (Minimum $2.00; Whole Dollars ONLY) Total Deduction on 1/14/2015 Paycheck

Pay Period Contribution $ ____________________________________________ X 26 = $ ________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY) Total Annual DeductionSE

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PAYROLL DEDUCTION AUTHORIZATION: I hereby authorize the payroll deduction(s) of the amount(s) shown above to the proper charity as indicated. I understand that this authorization may be revoked by me in writing at any time before it expires and may not be reinstated until the next campaign period.

___________________________________________ ____________________________ Signature Date

Yes, I would like a confirmation email sent from HISD to acknowledge my pledge.

Yes, I would like a confirmation receipt mailed to me from the charity(ies) listed above.**

THANK YOU FOR YOUR GENEROUS CONTRIBUTION

I have been given the opportunity to participate in this year’s campaign, but choose not to contribute at this time. ________ Employee Initials

Charity Code #:

Payroll Deduction METHOD OF PAYMENT (Please check only one):

Name of Charity: ______________________________________________________________

One time Contribution $ ____________________________________________ X 1 = $ ________________________________ Amount (Minimum $2.00; Whole Dollars ONLY) Total Deduction on 1/14/2015 Paycheck

Pay Period Contribution $ ____________________________________________ X 26 = $ ________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY) Total Annual Deduction

Charity Code #:

Payroll Deduction METHOD OF PAYMENT (Please check only one):

Name of Charity: ______________________________________________________________

One time Contribution $ ____________________________________________ X 1 = $ ________________________________ Amount (Minimum $2.00; Whole Dollars ONLY) Total Deduction on 1/14/2015 Paycheck

Pay Period Contribution $ ____________________________________________ X 26 = $ ________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY) Total Annual Deduction