Sign In
Thank you for supporting UCLA Extension! We are a self-sustaining entity and we depend on private contributions to help us provide student scholarships, create new leading-edge programs and develop unique opportunities for student growth and engagement.

If you have any questions about this donation or to learn more about UCLA Extension, please contact Gil Ramirez at 424-365-2095 or gramirez@unex.ucla.edu.


Required fields are indicated with an asterisk (*).
Gift Information
* I would like to make

Gift Selection(s):
DesignationAmount 
Total  
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
  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:  

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 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.
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 Gil Ramirez at 424-365-2095 or gramirez@unex.ucla.edu.
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.
314370/M-345


© 2002-2024 UC Regents