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Download a copy of the pledge form and follow the instructions below: 


Part 1:  Please provide your name, department, and zip+4. Note: the state employee designation has already been checked for you.

Part 2:  You will not be required to provide a line number. Please provide the following information: your full name; Stony Brook ID; choose from among the three contribution options available; and provide required contribution information with your signature, if applicable.

Part 3:  Please designate the agency/agencies to which your contribution should be donated. If you would like to be thanked for your gift by the agency you are donating to, please print your address on the bottom of the pledge form. You can search online for the charity of your choice.

All paper pledge forms should be returned to

Questions? Email

Thank you for your support in helping our Long Island neighbors and people in need around the world through your contributions to the Stony Brook Cares campaign. You can make the difference!