Sign Up Employer Information Company or organization*Contact Name* First Last Contact Title*Email address* Phone number*Number of Employees*Less than 5050 – 100100 –10001000 – 10,00010,000 – 25,00025,000 – 50,000More than 50,000Employer Industry*Construction/Real EstateRetail/WholesaleServicesFinances/InsuranceManufacturingProfessionalAgriculture/Mining/TransportationFederal/State/Local GovernmentHealthEducationGeographic location of employees (check all that apply)* Northeast Southeast Midwest Southwest West International How did you hear about Split to Save?*America Saves Partner EmailInternetSocial MediaReferralWhat do you want your custom program page link to be?*https://splittosave.org/example Tell us about your hiring and payroll practices Do you offer direct deposit?*YesNoDo you offer payroll cards as the default for direct deposit?*YesNo Partnering financial institution information Do you have a bank or credit union partner that can open accounts for employees?*YesNoAdd your Financial InstitutionIncrease employee awareness of accounts offered by your partnering financial institution by adding its information here.Institution name:Primary contact name: First Last Primary contact phone:Primary contact email address: Homepage link: Brief description for employees:Does this financial intuition offer multiple accounts – one for spending and one for saving?YesNoDoes this financial institution offer accounts with low opening fees and low required balances?YesNoAdditional Institution Add a second financial institution? Section EndAdd your Financial InstitutionInstitution name:Primary contact name: First Last Primary Contact PhonePrimary contact email address: Homepage link: Brief description for employees:Does this financial intuition offer multiple accounts – one for spending and one for saving?YesNoDoes this financial institution offer accounts with low opening fees and low required balances?YesNoSection EndWhile a partner financial institution is not required we think it’s helpful to have one. If you would like a partner financial institution, we’re happy to help you find one. Just let us know in the box below. Reporting Agreement On an annual basis, you and America Saves will evaluate the effectiveness of the Split to Save program by analyzing how many employees use direct deposit, split their pay into multiple accounts, and how many accounts were opened. We will add this to the employee pledge data in order to show the impact of your program. You can use this data in proposals and other reporting documents to show success. Please check the boxes next to the data you can provide to America Saves.Reporting agreement How many employees used direct deposit? How many employees split their pay into multiple accounts? How many bank/credit union accounts were opened by employees? CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
