Sign In


For the David Geffen School of Medicine at UCLA to remain at the forefront of innovation in medical education, we must empower our students with the freedom to pursue careers aligned with their passions, unburdened by debt. Thank you for your generous support of our scholarship program and investment in the healthcare leaders of tomorrow.

If you do not see your preferred scholarship fund listed or would like to name a new scholarship (Min. $5,000 current use or $100,000 endowment), please contact Chelsea Bollea at (310) 825-5328 or cbollea@support.ucla.edu.



Required fields are indicated with an asterisk (*).
* I would like to make
(Contributions of $100 or more are eligible.)
You may direct your gift to up to six funds.

1.* Please choose a fund:

2.* Click here to add to your selection(s), then enter gift amount:
   

Gift Selection(s):

(None currently selected)

3. To select additional areas (up to 6), repeat steps 1-2.


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:  

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:
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 method:
This gift is anonymous.
 
Comments: