Sign In



Thank you for making a contribution to the Public Health Alumni Association at the UCLA Fielding School of Public Health. Your support builds on the traditions of alumni furthering their connections to the School and investing in the future of public health.
  • Public Health Alumni Association Fellowship Fund: Support the next generation of leaders in public health.
  • Public Health Alumni Association Support Fund: Provide opportunities for yourself and other alumni to participate in educational programs, networking, community service, mentoring and supporting current Fielding School students.
Your gift makes an important difference. We would love to connect with you and invite you to reach out to the Public Health Alumni Association at PHAA@support.ucla.edu to let us know how you'd like to be involved.



Required fields are indicated with an asterisk (*).
* I would like to make
Gift Selection(s):
DesignationAmount
Public Health Alumni Association Fellowship Fund
Public Health Alumni Association Support Fund
Total

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
  Birth date (mm/dd/yyyy):
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:

Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Payment method:
I am the parent of a current UCLA student
  Student name:
  Anticipated graduation year:
I am interested in learning more about how I can include UCLA in my estate plan.
This gift is anonymous.
 
Comments: