Michigan State Employees Charitable Campaign

Campaign Support Request Form

Name*
First Last
Department/Organization*
Email*
Phone*
County*
- I am interested in having an event at my facility.
Other Information
Date
Date Format: MM slash DD slash YYYY
Time

: HH

MM
Event Location
Preferred Number of Charities
Type of Charity or Specific Charity Preferences
Comments or Special Requests
CAPTCHA

Give to your favorite SECC charity via payroll deduction. Call the MI HR Service Center at 877-766-6447.