Make a Gift

Henry M. Seidel, M.D. Scholarship Fund

Fields marked with an * are required.

About My Gift

* Gift Amount: $ 

Please enter an amount in U.S. dollars without a dollar sign.

* Please designate my gift to  

Giving In Honor or In Memory Of

Would you like to notify family members or next of kin of your gift? If yes, please include a name and address if known in the space provided below.
Notification Address  

Donor Information

* First Name 
* Last Name 
* Street Address 
* City 
* State  
* Zip 
Enter N/A for non-US or Canada addresses
* Country  
* Home Phone 
Work Phone 
Best Time to Call  
* E-mail 
Are you a graduate of Johns Hopkins? 
If yes, from which school and year?  
Is this gift given jointly with another individual or organization?  
If yes, please provide the full name of person or organization 
   I wish this gift to be anonymous

Credit Card Information
Please charge my credit card (all fields required)
* Card Type  
* Card Number 
* Expiration Month/Year     
* CVV 
CVV is a 3-digit number on the back of a VISA or MasterCard; It is a 4-digit number on the front of an AMEX.

Matching Gift Information

My company will match my gift    Yes
 I have submitted my gift information to my company matching gift program.

Please send your company's matching gift form to:

Fund for Johns Hopkins Medicine
One Charles Center
100 N Charles Street, Suite 211
Baltimore, MD 21201

Phone: 410-516-0776 or 888-546-1336

Questions about matching gifts? Please email

Information Request

If you would like more information about a subject, please check below    Wills and Living Trusts
 Donating Property
 Gifts that Provide Lifetime Income
 Gifts of Securities

Questions? Call us at 410-516-0776 or 888-546-1336, or e-mail us at

Phones and email are manned between the hours of 8:30 a.m. to 5:00 p.m., Monday through Friday. Any questions or comments sent before or after that time will be answered on the next business day.

Please click Submit only once to avoid multiple charges.


© The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System, All rights reserved.