Make a Gift

UAMS Gift Form
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Thank you for your interest in making a gift!
This form is fast, easy and secure. Average completion time is two minutes.
Need help? Call 501-686-8200 (8:00 - 4:30 p.m. Central, M-F) or email
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Gift Details
I would like to make a gift in the amount of:
(Minimum Payment: $25)
$ required
Designations required

Other Designations: Please indicate where you'd like us to direct your gift to any specific funds, scholarships, etc.

I would like to make this a recurring gift.
Recurring gifts (monthly, quarterly, bi-annual or annual)
may be modified or cancelled at any time.

I would like this gift to be anonymous.
Donor Information
First Name:
Middle Name:
Last Name:
Primary E-mail:
Phone Number: XXX-XXX-XXXX
If your answer to any of the questions is “Yes”, please click on the box  next to the question. Otherwise you may skip to “Next”
Is this gift in honor or memory of someone? Who should we notify about your gift?
Tribute Information
 Gift Acknowledgement Information
This gift is

Name of person being honored or memorialized:

Gift amounts are not shown on acknowledgements.

Please provide the name(s) and address(es) of those to whom you would like us to send acknowledgement of your gift.
Is this a company gift? Is this a joint gift? Anything else we should know?
Additional Gift Information
This gift is on behalf of:
Does your employer match charitable gifts?
Matching Gift Program
Many employers sponsor matching gift programs and will match or multiply charitable contributions their employees make. As you can imagine, matching gifts are an important source of support for UAMS because they can double or even triple the value of your contribution.

If you found your company in the listing and believe your donation is matchable, please complete the following information for our records.Note: UAMS faculty eligible for FGP match should indicate eligibility in employee section of the form.


Type your company's name in the field below to learn more.
If you cannot find your company, please enter the name of your company here
Company Matching Amount:
Please Remember! In order to have your gift matched, you will need to send us your company's completed matching gift form. In most cases, you can get the form from your company's HR department. Please mail forms to:
University of Arkansas for Medical Sciences
Office of Institutional Advancement
4301 W. Markham Street, #716
Little Rock, AR 72205
Are you a UAMS Alum?
Alumni Information
Graduation Year:
Maiden Name:
From time to time, we share updates about our graduates with fellow graduates. What news or updates would you like us to share on your behalf?
What inspired you to give? Want to share your story?
Other Information
What inspired you to give?
If "Other", please specify:
We’re listening. Tell us your story and/or tell us why UAMS is important to you.
Please contact me about volunteer opportunities when they arise.
Please send me information about planned gifts and how to include UAMS in my estate plans.
I have included UAMS in my will.
Please do not include my name in a donor honor roll or other recognition publications.