First Step Program: Payroll Deduction

Thank you for deciding to join the First Step Program. Please fill out the following payroll deduction form to initiate payment and registration. Your initial payment will be deducted from your paycheck within 30 days.

Identifying Information

First Name

Middle Initial

Last Name

Address and Phone

Address 1

Address 2

City

State

ZIP Code

Country

Phone (enter numerals only, no dashes)

Email address

Payments and Discounts

I would like to register for payroll deduction for the First Step Program.

Yes

Please indicate the amount of your payment by selecting one of the radio buttons below. If you are eligible for any discounts, you must also select one or two of the check boxes below the payment amounts.

Payment Amount

Pay In Full - $825 Payment Plan - First Installment - $300 Bring a Buddy/Seasonal Discount - $742.50 Single Discount (check one discount box below) - $795

Discounts (select one or two based on Payment Amount above)

MUSC Employee/SpouseState Employee/SpouseCurrent Military/Veteran or SpouseActive MUSC Alumni Association/MUSC Society of 1824

Take the Next Step

What would you like to do next?

Visit our frequently asked questions page.
Sign up for a free, in-person program orientation.

Contact

First Step Program: Payroll Deduction

Identifying Information

Address and Phone

Payments and Discounts

Take the Next Step