Online Survey Software | Qualtrics Survey Solutions

Thank you for your interest in taking part in the College of Liberal Arts Legacy Challenge!
Your gift will leave a lasting legacy that benefits countless future students and makes an immediate impact today. Please complete and submit this form to take part in the Legacy Challenge.

Yes, I would like to document a future gift of $100,000 or more through my estate plan and claim matching funds for an immediate gift to the department, program, project or area in the college that I choose.

Please note that your communication with us is strictly confidential and our goal is to ensure that your wishes will be carried through exactly as you envision. This form is a statement of your current intent and is not binding on you or your estate. We will contact you shortly to discuss your gift and answer any questions you may have.

For questions contact:

Tony Weber OR Michelle Debelak
tweber@austin.utexas.edu michelledebelak@austin.utexas.edu

First name

Last Name

Spouse or partner's name (optional)

Telephone number

Email address

I have, or would like to, make an estate gift to the College of Liberal Arts through a:

(You may select more than one option.)

Will or living trust
Beneficiary designation of my life insurance policy
Beneficiary designations from my retirement or bank account
Charitable gift annuity
Charitable lead trust
Charitable remainder trust

I would like my gift to be designated to (department, program, area)

The purpose of my gift is to:

(You may select more than one option.)

Provide scholarships or fellowships
Support faculty
Support the College of Liberal Arts, unrestricted
Undecided
Other

I estimate the amount of my gift to be

I am inspired to make this gift because/ in honor/in memory of

Thank you for telling us about your gift! You are now a member of the Texas Leadership Society, a group of more than 2,000 loyal Longhorns and friends generously making a difference for future Longhorns.

As a member you'll receive:

A complimentary subscription to our semi-annual publication Texas Leader
An invitation to our annual Texas Leadership Society event with university leaders, faculty and students
A Texas Leadership Society lapel pin
Invitations to other donor-only events

Please select one membership option below:

Yes, I would like to be a member of the Texas Leadership Society and approve the appearance of my/our name(s) in The University of Texas at Austin publications/and or website and would like my/our name(s) displayed as:
Yes, I would like to be a member of the Texas Leadership Society, but do NOT want my name listed as a member in The University of Texas at Austin publications and/or website.
No, I would not like to be a member of the Texas Leadership Society, even though I do have a planned gift for the College of Liberal Arts.