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 at 618.453.7321.
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
- 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 or Advancement Services Director 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