Name:  

Email Address:  
 
Phone Number: (xxx-xxx-xxxx)  
 
College/School/Area:  

Department:  
 
Job Title:  

Position: 

Faculty
Staff
Faculty and Staff



Please select the committees in which you would like to be a valued member.
Nota Bene: UT staff members actively involved in PEFSA committee work are eligible for work release
time allocation as authorized by The University for activity in our University Resource Group.
Download the official work release letter. (Opens in a new window.)

Domestic Partnership Benefits: be a part of our initial efforts to establish domestic 
partner benefits at UT Austin! 

Membership: join the recruiting team to increase the number of active PEFSA members and 
encourage current members to become actively involved in all aspects of the organization.

Programming: help plan social and educational events for the purpose of building community
in the association and within the wider UT community to promote the exchange of ideas and a
greater understanding of GLBTQ issues.

Publicity: interact with the community by promoting PEFSA meetings and related events. 

None at this time


Would you like to identify yourself as GLBTQ or ally? [OPTIONAL and CONFIDENTIAL]