Sign In
* During this time of social distancing, all Open Mind programs have pivoted to a virtual platform. Until we resume in-person programs and events, all gifts are fully tax-deductible. We appreciate your support that is vital for The Friends to sponsor the Open Mind lecture and film series and award grants through our Friends Research Scholar Program.

Please fill out this form and submit it electronically. If you would prefer to send your donation by fax or mail, please print this page, complete and send to:

The Friends of the Semel Institute
760 Westwood Plaza, Room C7-463
Los Angeles, CA 90095-1759
or 310-825-3942 fax

Please make checks payable to The UCLA Foundation with “Friends of Semel” in the memo line.


Required fields are indicated with an asterisk (*).
Gift Information
We are happy to include you as an annual member with your tax-deductible donation. Thank you for your generous support.
*I would like to make a new gift of   Other $

Donor Information   

Personal
Title:
* First name:
  Middle name:
* Last name:
  Suffix:
   I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor
UCLA graduation year(s):

Spouse/Partner
  Name:  
  UCLA graduation year(s):

Joint Gift
* This is a joint gift with
my spouse/partner:

Contact Information
* Street:
 
U.S. Addresses  
*   City, State, Zip:
Non-U.S. Addresses  
  Non-U.S. City/County
  or Province/Postal Code:
  Country:
* This address is my:
* Home telephone:
Business telephone:

* E-mail address:
* This e-mail is my:

Gift Options
Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Tribute Gift
Please check this box if you would like to honor a family member, faculty member, business associate, community leader, or other with your contribution.
 
Payment
Payment method:
Additional Information
I am interested in learning more about how I can include UCLA in my estate plan.
This gift is anonymous.
 
Click on Review Submission to enter your credit card information.

 
Comments: 

     



If you have any questions about this donation, please contact:

Wendy Kelman
The Friends of the Semel Institute
UCLA Semel Institute
760 Westwood Plaza, C7-463
Los Angeles, CA 90095-1759
wkelman@mednet.ucla.edu (310) 825-3119.
 

If you do not wish to receive further fundraising information from UCLA Health Sciences,
please either call us at 855-364-6945 or email us at OptOutUCLAHSD@support.ucla.edu.
Find out about the security features of this web page that protect your account information.
Fund-raising Permit: In compliance with the Charitable Solicitation Ordinance in the City of Los Angeles (L.A. Municipal Code Article 4, Section 44), The UCLA Foundation’s permit is on file with the City of Los Angeles. In compliance with the Charitable Solicitation Ordinance in the City of Beverly Hills(Under Article 8, Section 4-3-801 of the Beverly Hills Municipal Code (BHMC), The UCLA Foundation's permit is on file with the City of Beverly Hills.
Click here to view privacy policy and disclosure statements to prospective donors. donors.
61200C/M-35989


© 2002-2024 UC Regents