Development and Alumni Relations Data Request Form

Development & Alumni Relations Data Request
- This form is used to request lists, reports, and other information from the SIU Foundation's constituent database.
- All delivered information is provided for one-time use only as communicated in this request and subsequently authorized (in whole or part) by designated SIU Foundation staff.
- The storage, dissemination, and/or use of this information for any purposes other than those so authorized is strictly prohibited.
- Please direct any questions concerning the request process to Melanie Cardullo by email or by calling 618-453-7321.
- Please direct any questions concerning the email process to Stellah Nakiranda by email or by calling 618-453-4702.
Contact Information
Name:
E-mail:
Phone Number:

Area CodePhone Number
Organization:
Position / Job Title:
Are you submitting this request on behalf of someone else?
Requested on Behalf of...
Name:
E-mail:
example@example.com
Phone Number:

Area CodePhone Number
Organization:
Access and Confidentiality
List all individuals who will have access to this data (one name per line):
Do all listed individuals have signed confidentiality agreements on file?
Data will not be released until every individual using this information has a signed confidentiality agreement on file. Click here for Information Access and Privacy Policy...
Request Detail
Proposed Due Date (Min. 5 business days notice):

MonthDayYear
Date
NOTE: Your requested due date must be greater than five (5) business days from today and is considered tentative. ALL required materials (solicitation request packet, email templates, etc.) must be submitted/received by an IT team member a minimum of five (5) business days prior to the tentative due date. Failure to submit required materials may delay the completion of your project. During high-workload periods or for high-complexity projects, up to ten (10) business days may be required for fulfillment.
Request Title:
Request Purpose / Objective (How, when, and by whom will this information be used?):
Specifications for selecting constituents, transactions, etc. (Include "seed" IDs/Names if applicable):
Description of Desired Report/List Output (ID, name, primary college, etc.):
List/Report Type (Check all that apply):
Estimated Drop Date:

MonthDayYear
Date
List all individuals who should receive the test email for final approval (one name per line):
Enter email content here
Upload any images or documents that you want included in the email.

Browse Files

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NOTE: If the email content is not yet available, the requestor is responsible for providing all materials to Stellah Nakiranda at least five business days prior to the scheduled drop date.
Request Purpose:
Output Type:
Salutation Type (if applicable):
Will this information be used for a gift or membership solicitation (even if this is not the primary purpose)?
Has the Annual Fund Director or Development been notified of this solicitation?
Appeal Codes (if known):
Click for Solicitation Request and Event Approval Forms
Constituent Selection Criteria

Constituent must meet criteria for ALL variables unless otherwise specified. It is not necessary to check any boxes below unless you wish to further limit your results!
Constit Inclusions:
Constit Exclusions:
SIUC Alumni Status:
College / School:

Other
Alumni Assn Membership Type / Status:
Geographic Region (specify cities, states, counties, zips, or address radius):
State:
Gift Selection Criteria

Gift must meet criteria for ALL variables unless otherwise specified above. Select all options that apply for each. NOTE: If requesting donor giving totals, select either pledges or pledge payments - NOT BOTH. (Leave criteria blank if irrelevant to the request.)
Types of Gifts (see Dollars Raised vs. Cash In definitions in Gift Counting Guidelines):
Type of Gift Credit (use SC for recognition purposes and HC for everything else):
Gift Exclusions:

Other
Include gifts to these departments, schools, colleges, funds, etc. only:
Optional Attachment
If desired, upload additional information or specifications here:

Upload a File

Cancelof
Submission Date:

MonthDayYear
Please contact SIUF IT at 453-7321 if you do not receive a confirmation email within 5 minutes.
Should be Empty:

Development & Alumni Relations Data Request

Contact Information

Requested on Behalf of...

Access and Confidentiality

Request Detail

Constituent Selection Criteria

Gift Selection Criteria

Optional Attachment