Sign In
Thank you for your interest in supporting the UCLA AIDS Institute.

The Institute is a unique, multidisciplinary research environment, where experts in virology, immunology, genetics, cancer, epidemiology, social science, public health, nursing and disease prevention are working together to understand, prevent and ultimately eradicate HIV/AIDS. Our studies are carried out in several locations on the UCLA Westwood campus, in community settings, major medical centers in greater Los Angeles and international locations including India, China, Brazil and sub-Saharan Africa.

Thank you for your support.


Required fields are indicated with an asterisk (*).
Gift Information
Your contribution is greatly appreciated!
*I would like to make:
  Other $
(Contributions of $500 or more are eligible.)

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 creating a scholarship or fellowship.
This gift is anonymous.
 
Comments: 

     



If you have any questions about this donation, please contact the Health Sciences Development office at (844) 474-4387 or hsdannualgiving@support.ucla.edu.

By check via USPS:

The UCLA Foundation
PO Box 7145
Pasadena, CA 91109-9903



Find out about the security features of this web page that protect your account information.
Click here to view privacy policy and disclosure statements to prospective donors.
60741C/OL788


© 2002-2024 UC Regents