Central Connecticut State University

Central Connecticut State University

Advancement Services Data Request Form
REQUESTOR INFORMATION
Name*

First NameLast Name
Email*
datarequest@ccsu.edu
CCSU extension*
ex. 21747
REQUEST INFORMATION
Purpose*

Affinity PartnersData AnalysisENewsIn Memoriam ListInvitationSocial MediaBlast EmailEvent InvitationLifetime Giving ReportSolicitationClass ListGeneral MailingPhonathonStewardshipCounts OnlyHonor RollPublicationSurveyOther
Date required (allow 5 working days lead time if possible)*

MonthDayYear
In Memoriam Date From*

MonthDayYear
Date
In Memoriam Date To*

MonthDayYear
Date
In Memoriam Name Information

In Memoriam Full Name & All Classes
Number of Lifetime Giving Reports Needed (max. 12)*
LGR1 ID*
LGR1 FIRST*
LGR1 LAST*
LGR2 ID*
LGR2 FIRST*
LGR2 LAST*
LGR3 ID*
LGR3 FIRST*
LGR3 LAST*
LGR4 ID*
LGR4 FIRST*
LGR4 LAST*
LGR5 ID*
LGR5 FIRST*
LGR5 LAST*
LGR6 ID*
LGR6 FIRST*
LGR6 LAST*
LGR7 ID*
LGR7 FIRST*
LGR7 LAST*
LGR8 ID*
LGR8 FIRST*
LGR8 LAST*
LGR9 ID*
LGR9 FIRST*
LGR9 LAST*
LGR10 ID*
LGR10 FIRST*
LGR10 LAST*
LGR11 ID*
LGR11 FIRST*
LGR11 LAST*
LGR12 ID*
LGR12 FIRST*
LGR12 LAST*
CONSTITUENT INFORMATION
Constituents to include*

Undergraduate AlumniGraduate AlumniNon Degreed AlumniFriendsParentsCorporations/OrganizationsCorporate SponsorsFoundationsAllOther
Attributes to Include*

Alumni Board of DirectorsAthletesBarnard SocietyCCSU Executive CommitteeCorporate SponsorsCurrent Faculty/StaffDeceasedEmeriti FacultyFive+ Consecutive Years GivingFoundation Board of DirectorsFoundation Board EmeritiFounders SocietyFund Name/Fund OwnerInternational AddressesPresident's ClubNoneOther
CCSU ACADEMIC INFORMATION

Only include these specific schools*

Ammon College of Liberal Arts & Social Sciences/School of Engineering, Science, & TechnologyCarol A. Ammon College of Liberal Arts & Social SciencesSchool of BusinessSchool of Education & Professional StudiesSchool of Engineering, Science, & TechnologyAll
Only include these majors (enter "ALL" to include all majors.)*
GIVING INFORMATION
Include*
I have gift date range information to enter*
Gift Date Range From:*

MonthDayYear
Gift Date Range To:*

MonthDayYear
I have single gift minimum & maximum values to enter
Single Gift Amount Minimum:*
Single Gift Amount Maximum:*
I have cumulative giving minimum & maximum values to enter*
Cumulative Giving Minimum:*
Cumulative Giving Maximum:*
Specific Fund(s) (enter "All" to have all giving funds included):
FIELD EXPORT INFORMATION
Name information to include*

IDPrefixFirstMIMaidenLastSuffixFull Name (Prefix, First, MI, Last, Suffix)Full Name (First, MI, Last, Suffix)Nickname (if avaiable)AgeBirth DateSpouse ID (if applicable)Spouse Prefix (if applicable)Spouse First (if applicable)Spouse MI (if applicable)Spouse Maiden (if applicable)Spouse Last (if applicable)Spouse Suffix (if applicable)Spouse Full Name (Prefix, First, MI, Last, Suffix)Spouse Full Name (First, MI, Last, Suffix)Spouse Nickname (if available)Spouse AgeSpouse Birth DateSalutationFirst & Spouse First (if applicable)Other
Employment information to include*

Work Address (if available)Work Phone (if available)Work Email (if available)Spouse Work Address (if applicable & available)Spouse Work Phone (if applicable & available)Spouse Work Email (if applicable & available)NoneOther
Demographic information to include*

Home AddressHome PhoneHome EmailHome Cell PhoneSpouse Home EmailSpouse Home Cell PhoneNoneOther
Other information to include*

AwardsSocial Media (Facebook, LinkedIn, Instagram, etc.)Sports PlayedStudent Activities/LeadershipWealth ScreeningNoneOther
CCSU Academic Information to Include*

Primary (1st) CCSU degree earned onlyAll CCSU degrees earnedN/A
Giving Information to include*

Cumulative GivingCurrent Fiscal YearLast 5 consecutive fiscal yearsLast 10 consecutive fiscal yearsLast 15 consecutive fiscal yearsNoneOther
I have a specific radius area to enter*

YesNo
Only include constituents within:*
Where applicable spouses should be listed:*

TogetherSeparatelyN/A
This is a generational project.*
Generations are defined as:
Generation Alpha - Born on or after 2013
Generation Z - Born Between 1998 – 2012
Millennial - Born Between 1981 – 1997
Generation X - Born Between 1965 – 1980
Baby Boomers - Born Between 1946 – 1964
Silent Generation - Born Between 1928 – 1945
Greatest Generation - Born Between 1915 – 1927
I have a file to upload*

YesNo
Files(s) to upload*

Browse Files

Cancelof
The Development Officer(s) Assigned to my Area is/are:*

Melody Avery (IA Staff)Laura Marchese (Business / Engineering, Science & Technology)Mary Beth Papallo (Arts & Sciences / Education & Professional Studies)There is no development officer assigned to my area.
I have additional instructions to enter*

YesNo
Additional instructions*
TERMS & CONDITIONS
I, {NAME}:

understand that I must treat this data provided by CCSU Advancement Services as confidential and use it only for University-related purpose specified above.

understand that any data furnished by CCSU Advancement Services will not include records of constituents who have opted out of sharing their data.

will exercise care when handling and transmitting any data provided by CCSU Advancement Services. Every effort should be made to collect and share only necessary information and to maintain and share such data in a reasonably secure form.

understand the data provided by CCSU Advancement Services is to be used for statistical/planning purposes OR a one-off mailing/emailing only. The Advancement Services database is the most comprehensive database on campus for alumni and donor information and is updated on a daily basis. The information provided must not be used to create separate alumni databases and should not be retained once the specified use has been completed.

will forward in full corrections and additions to the information provided by CCSU Advancement Services to gordonjo@ccsu.edu, or by campus mail to the Advancement Services Office - Clarence Carroll Hall - Room 343.

will only use mailing/email information for mailings/emails that take place within 30 days after information has been received and request updated information for any subsequent mailings/emails.

will contact Joe Gordon, Director, Advancement Services – 860-832-1747 or gordonjo@ccsu.edu with any questions regarding appropriate use, sharing, and protection of data provided by CCSU Advancement Services.
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