Starkweather & Shepley Employee Charitable Match Program | Starkweather & Shepley Insurance Brokerage

Starkweather & Shepley Charitable Foundation Employee Matching Gift Program

We believe part of our obligation as an Employer of Choice is to not only encourage community engagement, volunteerism, and advocacy but also to help strengthen our employees’ efforts in the form of a matching gift. We celebrate our employees and their passions!

If you are an S&S employee interested in requesting a Matching Gift, please complete this form. Every S&S employee is eligible to receive one matching gift of up to $100 annually, to an approved 501(c)(3) charitable organization of choice. Each employee must provide documentation of their personal contribution of $100 to receive a match.

We review all requests biweekly and will respond accordingly.

This form will take approximately 10 minutes to complete, and it’s recommended you have all applicable information related to your request nearby for precise completion. Please note this form will not allow you to save your work for completion at a later date. You must start over if you exit the form before submitting it on the final screen.

All requests are subject to approval. S&S will not provide employee matches for does not support requests related to athletic sponsorships, politically-driven campaigns, or faith-based campaigns, as well as crowd-funded or Go Fund Me campaigns.

S&S Employee Match

Organization*
Make Check Payable to:*
Organization Website*
Organization Contact*
Organization Contact Title*
Organization Contact Email (we will not email your contact without your consent)*
Preferred Phone of Organization*
Organization Mailing Address*
City*
State*
Zip*
Today's Date*
MM slash DD slash YYYY
Brief Description of Request*
Specific Event (If Applicable)
Is the organization a current or past S&S customer?*
Your Name*
First Last
Your Phone Number*
Your Email*
How much are you personally contributing? (Please do not enter currency signs or decimal points.) Please note S&S will match your contribution up to $100.*
Document Upload (Receipt of your Donation)*
Drop files here or

Max. file size: 50 MB.
Email
This field is for validation purposes and should be left unchanged.

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