School of Medicine Class Scholarship Challenge

Show Your Class Pride

Your gifts are STILL needed for deserving medical students. Show your class pride and help create your class scholarship today!

(Classes in the running with the most gifts received for this year’s class scholarships as of 7-20-16)

Attention Classes of 1973, 2010 and 2015!
Your class has reached their goal and endowed a scholarship, but you can continue to grow your endowment and help a deserving medical student.

 

Gift Level
Amount:	$ 25.00 $ 50.00 Other $     *
Designation:	Class of 1970 Endowed Scholarship Class of 1971 Endowed Scholarship Class of 1972 Endowed Scholarship Class of 1973 Endowed Scholarship Class of 1974 Endowed Scholarship Class of 1975 Endowed Scholarship Class of 1976 Endowed Scholarship Class of 1977 Endowed Scholarship Class of 1978 Endowed Scholarship Class of 1979 Endowed Scholarship Class of 1980 Endowed Scholarship Class of 1981 Endowed Scholarship Class of 1982 Endowed Scholarship Class of 1983 Endowed Scholarship Class of 1984 Endowed Scholarship Class of 1985 Endowed Scholarship Class of 1986 Endowed Scholarship Class of 1987 Endowed Scholarship Class of 1988 Endowed Scholarship Class of 1989 Endowed Scholarship Class of 1990 Endowed Scholarship Class of 1991 Endowed Scholarship Class of 1992 Endowed Scholarship Class of 1993 Endowed Scholarship Class of 1994 Endowed Scholarship Class of 1995 Endowed Scholarship Class of 1996 Endowed Scholarship Class of 1997 Endowed Scholarship Class of 1998 Endowed Scholarship Class of 1999 Endowed Scholarship Class of 2000 Endowed Scholarship Class of 2001 Endowed Scholarship Class of 2002 Endowed Scholarship Class of 2003 Endowed Scholarship Class of 2005 Endowed Scholarship Class of 2004 Endowed Scholarship Class of 2006 Endowed Scholarship Class of 2007 Endowed Scholarship Class of 2008 Endowed Scholarship Class of 2009 Endowed Scholarship Class of 2010 Endowed Scholarship Class of 2011 Student Service Endowment Class of 2012 Endowed Scholarship
Gift Information
Type of gift:	One-time gift Recurring gift Pledge (installments)
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
Billing Information
Title:	(Ret.) 1st Lieutenant 2nd Lt. Admiral Admiral [Ret.] Archbishop Bishop Brigadier General Brigadier General (Ret.) Captain Chairman Chancellor Chief Colonel Colonel (Ret.) Commander Commissioner Congressman Consul General Councilman Councilmember Councilwoman Deacon Dean Dr. Dr. Reverend Ensign Father General General (Ret.) General Counsel Governor Honorable Judge Lieutenant Lieutenant (Ret.) Lieutenant Governor Major Major (Ret.) Major General Major General (Ret.) Master Master Sergeant Master Sergeant (Ret.) Mayor Miss Monsignor Mr. Mrs. Ms. Pastor President Professor Rabbi Rear Admiral Regent Representative Reverend Reverend Deacon Secretary Senator Sergeant Sergeant Major Sister State Representative The Honorable The Most Reverend The Most Reverend Bishop The Reverend The Reverend Doctor The Right Reverend The Very Reverend U.S. Magistrate USA (Ret.) USAF Lt. Col. Vice Admiral Vice Chairman
First name:		*
Last name:		*
Country:	AFRICA AUSTRALIA AUSTRIA BAHRAIN BELGIN BELGIUM BRAZIL CANADA CENTRAL AMERICA CHILE CHINA COLUMBIA DOMINICAN REPUBLIC ENGLAND ESSEX FRANCE GERMANY GREECE GUATEMALA HAITI HOLLAND ICELAND INDIA IRAN IRELAND ISRAEL ITALY JAPAN KOREA MALAYSIA MEXICO NETHERLANDS NEW ZEALAND NIGERIA NORTHERN IRELAND PAKISTAN PANAMA PHILLIPINES Puerto Rico REPUBLIC OF CHINA SAUDI ARABIA SCOTLAND SOUTH AMERICA SPAIN SWEDEN SWITZERLAND TAIWAN THAILAND THE NETHERLANDS TURKEY UNITED ARAB EMIRATES UNITED KINGDOM United States VENEZULA WEST INDIES	*
Address lines:		*
City:		*
State:	<Please Select> AA AE AL AK AB AS AP AZ AR BC CA CZ CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MB MH MD MA MI MN MS MO MT N/A NE NV NB NH NJ NM NY NL NC ND MP NT NS NSW NU OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX UT VT VI VA WA WV WI WY YT	*
ZIP:		*
Phone:
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	American Express Diners Club Discover MasterCard Visa	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033	*
Card Security Code:		*
Matching Gifts
	My company will match my gift
Company:		*
Additional Security
This is a security measure to help prevent fraud.
Unable to load the reCAPTCHA image. The public key (6Lc2ML8SAAAAADPI4McEoAU5TWX-FEwsIihSPj2E) might be invalid for this domain. reCAPTCHATM Enter the text: Type what you hear: * Get a new challenge  |  Get an audio challenge Get a visual challenge
Tribute Information
Type:	In honor of In memory of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf	*