Houston Independent School District

2014 Combined Charities Campaign

October 7–October 25, 2013

Making the Difference

Every Dollar You Give Will Make a Difference!

On October 7, we kick off our annual employee Combined Charities Campaign. Everyone in HISD – employees, families, and students — has always been quick to respond to people’s needs in Houston, the nation, and even around the world. This year’s campaign is no different. In the past, you have contributed hundreds of thousands of dollars to local, state, national, and global nonprofit organizations. Your generosity continues to make Houston ISD a great district to be a part of and Houston a wonderful place to live.

The organizations included in the Combined Charities Campaign provide essential services that help families everywhere survive economic hardship and

rebuild after natural disasters. These organizations also focus on important issues such as education, health, social justice, and the environment. Everyone can find an organization in this campaign that serves a cause close to their heart.

Giving 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.

Your support starting here at HISD can help these nonprofits make the world a better place in which to live. Thank you for supporting the Combined Charities Campaign to assist people in need in Houston and beyond.

Thank you for helping make Houston ISD great all over.

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

How To Contribute—Easy As 1-2-31. Select Select a charity for donations by clicking on the charity’s name. The charity will appear in a list box for Charity your review. You may select as many as you like. To make your pledge, click “Continue.”

2. Payment You will be able to view your selected charities. Please note: Only charities with contribution amounts Options 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 2014 calendar year. • One-Time Payroll Deduction (Option-2) By selecting this option, your full donation will be deducted on your 1/01/14 paycheck (or the payday containing your first earnings of 2014). • 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 Confirmation/Receipt and •“Iwouldlikeaconfirmatione-mailsentfromHISD.”Checkthisboxtoreceiveane-mail Submit confirmation from HISD. •“Iwouldlikeaconfirmationreceiptmailedtomefromthecharitieslistedabove.”Checkthisboxto

receive an acknowledgement from the federation handling payment to your selected charities. Click on “edit address” to update your address.

Submit Donations •Reviewpledgeformandclickthe“SubmitDonations”button.Youwillautomaticallyseea

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:

u Click on the Combined Charities Campaign link on the HISD website homepage (www.houstonisd.org)

u Visit www.houstonisd.org/portal/site/CombinedCharities; or

u 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 Texas0118 Endangered Species Media Project0119 Environment America Research and

Policy Center0120 Environmental and Energy Study

Institute0121 Environmental Defense Fund, Texas

Officed0122 Environmental Law Institute0182 Friends of Big Bend National Park0123 Friends of the Earth

0192 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 Conservation0171 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 Association0174 Surfrider Foundation0116 Sustainable Food Center0177 Texas Campaign for the Environment

Fund 0136 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, The0133 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 Africare 0206 American Jewish World Service

0208 American Near East Refugee Aid (ANERA)

0209 American Refugee Committee 0210 AmeriCares 0211 CARE 0214 ChildFund International 0257 Church World Service 0256 CRWRC/World Renew 0217 Doctors Without Borders/Médecins

Sans Frontières USA 0258 ECHO 0219 FINCA International 0220 Freedom from Hunger 0200 Global Impact 0221 Health Volunteers Overseas 0222 Heifer International 0254 Helen Keller International 0224 International Eye Foundation 0246 International Orthodox Christian

Charities 0242 International Relief Teams 0226 International Rescue Committee 0227 Lutheran World Relief 0249 Mercy Corps 0213 Millennium Promise 0229 OPPORTUNITY International 0280 Pan American Development

Foundation 0261 PATH 0253 PCI-Media Impact 0245 Plan USA 0235 Project HOPE 0247 Rotary Foundation of Rotary

International 0250 Salvation Army World Service Office

(SAWSO) 0236 Save the Children 0270 SOS Children’s Villages- USA 0255 TechnoServe 0237 UNICEF, U.S. Fund0238 Unitarian Universalist Service

Committee 0251 United Methodist Committee on Relief 0239 United Seamen’s Service 0275 Water For People 0263 William J. Clinton Foundation 0241 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 Justice 04A1 American Red Cross of Central Texas 0404 Amnesty International USA 04A3 Animal Trustees of Austin 0439 Austin Children’s Shelter 04A5 Boy Scouts of America - National

Council 0444 Breast Cancer Resource Centers of

Texas 0448 Cancer Research and Prevention

Foundation (Prevent Cancer Foundation)

0433 Caring for Children Foundation of Texas, Inc.

0406 Catholics United for Life

0451 Children’s Miracle Network Hospitals 0483 Diabetes Research and Wellness

Foundation 0490 Diabetes Research Institute

Foundation, Inc. 0484 Dress For Success Worldwide 0411 Father Flanagan’s Boys’ Home 0422 Feed The Children 04A6 Fellowship of Christian Athletes 0415 Foster Care To Success Foundation

(formerly Orphan Foundation of America)

0441 Fund for Animals, The 0410 Give Kids The World 0488 Hole In The Wall Gang Fund, The 0405 Hospice America (American Hospice

Foundation) 0412 Human Rights Campaign Foundation 0477 Humane Society of the United States,

The 0491 ‘I Have a Dream’ Foundation® 0424 LIVESTRONG Foundation (Lance

Armstrong Foundation) 0414 Make-A-Wish Foundation® of America 0452 Melanoma Research Foundation 04A4 Mothers Against Drunk Driving 0493 NAACP Legal Defense and Educational

Fund 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 Fund 0486 PetSmart Charities, Inc. 0499 Reading Is Fundamental, Inc. (RIF) 0465 Ronald McDonald House Charities® 0438 Tuberous Sclerosis Alliance 0489 VSA arts of Texas 0430 Zero Population Growth (formerly

Population Connection)

0500 Thurgood Marshall College FundA 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)

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.

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 Fund 0532 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 Islands 0537 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 University 0611 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 Houston

We 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 Society 0702 American Red Cross—Greater

Houston Area Chapter 0704 AVANCE, Inc.—Houston 0705 Avondale House 0706 BACODA-Bay Area Council on Drugs

and Alcohol, Inc. 0707 Bay Area Rehabilitation Center 0779 Bay Area Turning Point, Inc. 0710 Big Brothers Big Sisters Lone Star 0711 Boy Scouts of America—Sam

Houston Area Council 0780 Boys & Girls Clubs of Greater Houston,

Inc. 0764 Bridge Over Troubled Waters, Inc. ,The 0712 Career and Recovery Resources, Inc.0713 Catholic Charities of the Archdiocese

of Galveston-Houston 0765 Center for Hearing and Speech, The 0714 Center, The 0717 Child Care Council of Greater Houston,

Inc. 0718 Chinese Community Center 0719 Colorado Valley Transit, Inc. 0731 Community Family Centers, Inc. 0738 Council on Alcohol and Drugs

Houston, The0720 Crisis Intervention of Houston, Inc. 0722 Denver Harbor Senior Citizens, Inc. 0723 DePelchin Children’s Center 0770 Easter Seals of Greater Houston 0740 Evelyn Rubenstein Jewish Community

Center of Houston

0724 Family Services of Greater Houston 0725 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 Council 0733 Good Neighbor Healthcare Center 0736 Houston Area Urban League 0737 Houston Area Women’s Center 0784 Innovative Alternatives, Inc. 0739 Interfaith Ministries for Greater

Houston 0741 Jewish Family Service 0742 Julia C. Hester House, Inc. 0751 Legacy Community Health Services,

Inc. 0767 Lighthouse of Houston, The 0743 Literary Advance of Houston, Inc. 0787 Local Initiatives Support Corporation 0734 Lone Star Legal Aid 0745 Mental Health America of Greater

Houston 0749 Montgomery County Women’s Center 0752 Montrose Center 0753 Multicultural Education and

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

0754 Neighborhood Centers, Inc. 0757 Salvation Army, The 0758 San Jose Clinic 0759 Santa Maria Hostel, Inc. 0785 SEARCH Homeless Services 0762 Spaulding for Children 0763 Star of Hope Mission 0782 Target Hunger 0700-1500 United Way of Greater Houston 0771 University Speech, Language &

Hearing Clinic 0773 Volunteers of America Texas 0774 Wellsprings, Inc. 0775 Wesley Community Center, Inc. 0769 Women’s Home, The 0777 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 Flight 0877 Animal Defense League of Texas 0815 Arc of Greater Houston 0809 Arc of Texas 0891 Buckner Retirement Services 0869 Burn Survivors Throughout the World 0894 Campus of Hope 0812 CanCare of Houston 0892 Center for Public Policy Priorities 0854 Christian Community Service Center 0856 Guide Dogs of Texas 0872 Harris County Drug Court Support

Foundation 0857 Helping Restore Ability 0873 Heritage Society 0821 Houston Hospice 0866 Houston SPCA 0895 Houston Symphony Society 0867 Houston Volunteer Lawyers Program

0887 Jazz Walk of Fame, Inc 0800 Local Independent Charities of Texas 0836 Lutheran Social Services of the South 0889 Montgomery County Homeless

Coalition 0851 Northwest Assistance Ministries 0874 Operation Homefront - Texas 0852 Planned Parenthood Gulf Coast 0845 Planned Parenthood of Greater Texas,

Inc. 0843 Rose, The 0893 Shape Community Center Inc. 0811 Sight Into Sound 0890 Support Our Troops®, Inc. - Texas

Chapter 0848 Tarrant Area Food Bank 0849 Texas Association Against Sexual

Assault 0886 Texas Council on Family Violence 0875 Texas Hearing and Service Dogs 0865 Texas Homeless Network 0881 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 Chapter 1001 Alzheimer’s Association, Houston &

Southeast Texas Chapter 1002 AMC Cancer Fund 0902 American Cancer Society, High Plains

Division 1003 American Diabetes Association 0904 American Heart Association

Southwest Affiliate 1021 American Kidney Fund 1049 American Liver Foundation South

Texas Chapter 0953 American Lung Association 0911 American Parkinson’s Disease

Association 1005 Arthritis Foundation, South Central

Region 0901 Autism Speaks 0950 Be the Match Foundation 1023 Cancer Research Institute 0925 CaringBridge 0929 Cerebral Palsy International Research

Foundation 0930 Childhood Obesity - Alliance for a

Healthier Generation 0905 Children’s Heart Foundation, The 0906 Children’s Tumor Foundation 0931 City of Hope 0932 Colon Cancer Alliance 0900-1000 Community Health Charities

Texas 1006 Crohn’s & Colitis Foundation of

America Houston/South TX Chapter 0913 Cystic Fibrosis Foundation, Texas Gulf

Coast Chapter

1007 Easter Seals Central Texas 1028 Endometriosis Association 1008 Epilepsy Foundation Central & South

Texas 0955 Huntington’s Disease Society of

America Texas Affiliate 0922 JDRF International, Houston Gulf

Coast Chapter 0923 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 Foundation 0914 National Psoriasis Foundation 0907 Pancreatic Cancer Action Network 0945 Parkinson’s Disease Foundation 0915 Prevent Blindness Texas 0962 Sickle Cell Association of Austin, Marc

Thomas Foundation 1054 Smile Train 0957 Spina Bifida Association of Houston

Gulf Coast 0948 St. Jude Children’s Research Hospital 0958 Susan G. Komen for the Cure Houston

Affiliate 1052 Texas Scottish Rite Hospital for

Children 0963 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 Center 1725 Adoption Exchange 1726 Adoptions by Cradle of Hope 1298 Adventist Development and Relief

Agency International 17G2 Aid for Starving Children 1216 AIDS Treatment and Research

Information 17C8 Alex’s Lemonade Stand Foundation 1747 Alliance for Cancer Research and

Support - VHL 1202 Alzheimer’s Research Foundation-

Fisher Center 1763 Alzheimer’s Research and Prevention

Foundation 17H5 American Freedom Foundation, Inc. 17H6 American Humane Association 17C9 American Indian College Fund 17H7 American Library Association

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

17H8 America’s VetDogs - the Veteran’s K9 Corps, Inc.

1214 Amigos de las Americas 17H9 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 America 1205 Autoimmune Diseases Association 1744 Baptist Charities of America 1745 Baptist Children’s Home Ministries 1793 Believe In Tomorrow National

Children’s Foundation 1225 Best Buddies for Children with Mental

Retardation 17H1 Bethany Christian Services 17J2 Birth Defect Research for Children,

Inc. 17A5 Black Charities for Children, Families,

Communities 1779 Bone Marrow Donor Registry -

America 1746 Boone and Crockett Club Foundation 17H2 Boys & Girls Clubs of America 1208 Brain Tumor Association, American

(ABTA) 1780 Breast Cancer African American,

Sisters Network 17E2 Breast Cancer Crusade by Avon 1764 Breast Cancer Fund 17G3 Buckner Children and Family Services 1781 C.A.S.T. for Kids Foundation 1730 Cancer Coalition, The National 1782 Cancer Curing Society 1783 Cancer Research Fund of the Damon

Runyon - Walter Winchell Foundation 17E3 Cancer Research, American

Association for 1748 Canine Assistants 1218 Canine Companions for Independence 1206 Canines for Disabled Kids 1209 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 America 1261 Child Rescue International 1795 Childhelp® 1767 Childhood Brain Tumor Foundation 17D0 Children of the Night 1244 Children’s Angel Airlines 17D1 Children’s Cancer Recovery

Foundation 1222 Children’s Defense Fund 17J5 Children’s Fire & Burn Fund 17D2 Children’s Hospital & Research Center

Foundation 17D3 Children’s Hunger Fund 1234 Children’s Medical Ministries 1751 Children’s Organ Transplant

Association

17J6 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 Hope 1228 Cornelia De Lange Syndrome

Foundation 1750 Correctional Peace Officers

Foundation 17E6 Cure Alzheimer’s Fund 17J7 Daniel Pearl Foundation 1785 Diabetes & Immune Disease National

Research Institute 1240 Diabetes Action Research and

Education Foundation 1229 Disabled American Veterans (DAV)

Charitable Service Trust 17E7 Disabled Children’s Fund 17B8 Disabled Sports USA 1283 Dogs for Disabled Americans (NEADS) 17G4 Domestic Violence Hotline, National 1248 Educate the Children 1786 Equine Land Conservation Resource 1230 FACES: The National Craniofacial

Association 1733 Family Violence and Sexual Assault

Institute 1277 Farm Animal Reform Movement

(FARM) 1797 Fisher House Foundation 17E8 Foundation for Ichthyosis & Related

Skin Types, Inc. 1735 FRAXA Research Foundation 1269 Giving Children Hope 17J8 Gluten Intolerance Group of North

America 17B0 Graves’ Disease Foundation 1770 Guide Dogs for the Blind, Inc, 1270 Guide Dogs of America 17A7 Habitat for Humanity International 1787 HawkWatch International 17J9 Help the Children 1217 Hepatitis Foundation International 1753 Herbal Medicine Institute 1736 Hispanic Association of Colleges and

Universities 1246 Hispanic Scholarship Fund 17C6 Homes For Our Troops 1798 Hope For the Hungry 17E9 Hope For The Warriors 17C7 Hospice Foundation for End-of-Life

Care 1281 Hospice Foundation of America 17F0 Hostelling International - USA 17B2 Humane Farm Animal Care 1256 India Partners 17B3 Injured Marine Semper Fi Fund 17D5 Institute for Creation Research 17G5 Institute for Financial Literacy, Inc. 17K1 Iraq and Afghanistan Veterans of

America, Inc. 1272 Kidney Cancer Research and

Education Association 1258 Leukemia Clinical Research

Foundation 17D6 Lung Cancer Alliance 1260 Lymphoma Research Foundation 17B4 MAP International 1707 Mercy Medical Airlift 1799 Methodist Mission Home 17A8 Michael J. Fox Foundation for

Parkinson’s Research 17K2 Military Child Education Coalition 17G6 Mr. Holland’s Opus Foundation 17K3 Multiple Sclerosis, Can Do 1756 National Center for Missing &

Exploited Children 1297 National Children’s Advocacy Center 17A2 Operation Compassion 17K4 Operation Homefront 1737 OrphanCare International 1714 Parkinsons Research Center, Michael

Stern Foundation 1789 PETA: People for the Ethical

Treatment of Animals 1772 PKD Foundation 1286 Planned Parenthood Foundation 1285 Public Employees for Environmental

Responsibility 1773 Rape, Abuse, & Incest National

Network (RAINN) 17A3 Restless Legs Syndrome Foundation 1204 Rocky Mountain Elk Foundation 1790 Seeing Eye, Inc. 17F4 Skin Cancer Foundation 1774 Southeastern Guide Dogs 1719 Spay-Neuter Assistance Program

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

Foundation 17D9 Spinal Cord Injury Network

International 17K5 Spondylitis Association of America 17F5 Suicide Awareness Voices of

Education 1262 Sunshine Kids Foundation 17C3 Support our Troops 17C4 Thomas More Law Center 1250 Transplants, The National Foundation

for 1291 Vegan Outreach 17K6 Veteran Tickets Foundation 17C1 Veterans of Foreign Wars Foundation 17G9 WildAid, Inc. 1293 Wildlife Conservation Fund of America 1265 World Impact 17F8 Wounded Warrior Emergency Support

Fund 17H3 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 America 1351 Alpha-1 Foundation 1355 American Family Association 1344 American Foundation for Suicide

Prevention 1345 Association of Christian Schools

International 1356 Awana Clubs International 1366 Biblica (formerly International Bible

Society) 1305 Blessings International 1372 Breast Cancer Charities of America 1350 Breast Cancer Research Foundation,

The 1347 Children’s Food Fund/World

Emergency Relief 1307 Children’s Hunger Relief Fund

1333 Children’s Cancer Assistance Fund (The National Children’s Cancer Society, Inc.)

1373 Christian Blind Mission 1362 Christian Legal Society 1364 Christian Military Fellowship 1357 Christian Relief Fund 1311 Focus on the Family 1346 Gateway for Cancer Research

(formerly Cancer Treatment Research Foundation)

1313 Glaucoma Research Foundation 1314 Guide Dog Foundation for the Blind 1370 Home School Foundation 1374 Hope for the Heart 1375 Keep a Child Alive 1367 Leukemia Research Foundation 1316 Lions Clubs International Foundation 1337 MAZON: A Jewish Response to Hunger 1319 Mercy Ships 1335 Mexican Medical 1320 Mission Aviation Fellowship

1306 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, The 1360 Nazarene Compassionate Ministries,

Inc. 1300 Neighbor To Nation 1352 Officers’ Christian Fellowship 1377 Operation Blessing International Relief

and Development Corporation 1369 Osteogenesis Imperfecta Foundation 1322 Prison Fellowship Ministries 1323 Samaritan’s Purse 1339 Society of St. Andrew 1326 The V Foundation 1361 United Leukodystrophy Foundation,

The 1342 Voice of the Martyrs, The 1348 World Concern-A Division of CRISTA

Ministries 1371 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 Agapé 1931 Birthright Humble 1902 Boys and Girls Country of Houston 1963 Burke Center for Youth 1920 CENIKOR Foundation 1948 Child Advocates of Fort Bend 1964 Child Advocates, Inc. 1904 ChildBuilders 1957 Children At Heart Foundation 1905 Children’s Advocacy Centers of Texas 1900 Children’s Charitable Alliance of Texas 1932 Communities in Schools Houston 1949 Covenant House Texas 1907 Dare to Dream Children’s Foundation 1959 Dynamic Kids 1941 Family to Family Network 1951 Foster’s Home For Children

1933 Gracewood 1914 Houston Can! Academy 1952 Junior Achievement of Brazoria

County 1954 Kids Count Foundation 1916 Kids Sports Network 1943 Methodist Children’s Home 1944 Miracle Farm 1935 Mother’s Milk Bank at Austin 1921 Palmer Drug Abuse Program -

Houston 1922 Prevent Child Abuse Texas 1924 Ronald McDonald House Charities of

San Antonio 1962 Ronald McDonald House of Galveston 1923 Ronald McDonald House of Houston 1937 Small Steps Nurturing Center 1926 Special Olympics Texas 1925 St. Jude’s Ranch for Children - Texas

Region 1965 STARRY 1938 Texas Baptist Children’s Home 1928 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: ____________________________ ** Mailing Address for Confirmation Receipt

________________________________________________ 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 2014 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.

*THIS FORM IS NOT NEEDED IF DONATING ONLINE THROUGH THE CCC WEBSITE. If using this form, turn in to your department/school pay location coordinator to enter online by proxy.

PLEASE MAKE A COPY FOR YOUR RECORDS

HOUSTON INDEPENDENT SCHOOL DISTRICT

COMBINED CHARITIES CAMPAIGN · PLEDGE FORM*PLEDGE FORM MUST BE SIGNED AND RETURNED TO DEPARTMENT/SCHOOL PAY LOCATION COORDINATOR

Name of Charity: _________________________________________________________________

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

One time Contribution $ ___________________________________________ X 1 = $ ____________________________________ Amount (Minimum $2.00; Whole Dollars ONLY) Total Deduction on 1/1/2014 Paycheck Pay Period Contribution $ ___________________________________________ X 26 = $ ____________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY) Total Annual Deduction S

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Name of Charity: _________________________________________________________________

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

One time Contribution $ ___________________________________________ X 1 = $ ____________________________________ Amount (Minimum $2.00; Whole Dollars ONLY) Total Deduction on 1/1/2014 Paycheck Pay Period Contribution $ ___________________________________________ X 26 = $ ____________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY) Total Annual Deduction S

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Name of Charity: _________________________________________________________________

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

One time Contribution $ ___________________________________________ X 1 = $ ____________________________________ Amount (Minimum $2.00; Whole Dollars ONLY) Total Deduction on 1/1/2014 Paycheck Pay Period Contribution $ ___________________________________________ X 26 = $ ____________________________________ Amount (Per Pay Period) (Minimum $2.00; Whole Dollars ONLY) Total Annual Deduction

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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