Thank you for joining the Friends of Geriatrics!

Fund Descriptions
  • Division of Geriatrics Discretionary Fund: Proceeds used to support the activities (e.g., education, research and other divisional needs) of the Division of Geriatrics (Fund 610920)
  • Geriatrics Patient Care Fund: Proceeds used to improve the quality of geriatric patient care (Fund 617390)
  • Alzheimer’s and Dementia Care: Proceeds used to help patients and their families with the complex medical, behavioral and social needs of Alzheimer’s disease and other types of dementia (Fund 62441O)
  • MSTAR: Proceeds used to provide medical students short-term research training in aging and geriatrics with successful mentors in the field, with the goal of encouraging medical students to consider careers in aging research (63213O)
  • Alumni of MPGMG Fellowship Fund: The UCLA Multicampus Program in Geriatric Medicine and Gerontology (MPGMG) Fellowship supports the training of future geriatric physicians (31037O).

Required fields are indicated with an asterisk (*).
*Please direct my gift to the following fund:
*I would like to make:
   Other $  
(Contributions of $1000 or more are eligible.)

*Donors of $1,000 or more will automatically be included in the "Friends of Geriatrics" Program and will receive an invitation to attend

* First name:  
  Middle name:
* Last name:  
UCLA graduation year(s):  

  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:
* This address is my:  
* Home telephone:    
Business telephone:  

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

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.
Please list the name of the honoree in the comments box below and let us know if your gift is in honor or in memory of this person. Also, please supply the name and address of any individual you wish to be notified of this gift.
Payment method:
I am interested in learning more about how I can include UCLA in my estate plan
This gift is anonymous
I am interested in learning more about the UCLA Division of Geriatrics.