Fort Lewis College Advancement - Request Form for Constituent Lists

Date Request Made: Click here to enter a date. Date Needed Click here to enter a date. Requested By: Click here to enter text. Department: Click here to enter text. Phone: Click here to enter text. Email: Click here to enter text. Data Request Title (e.g. XX Resident Hall Grads 2005-2010): (specify here) Purpose/Use of Solicitation Visit Data: Mailing Donor History Type of Report: Demographic Giving Invitation Stewardship/ Record (highlight your Thank You (highlight your choice, and specify choice) for “other” if Other: (specify here applicable) for “Other”)

All Degreed All Degreed Address Telephone Alumni and Non Email Include Degreed Spouse Alumni Group or Parameter Include Casual Constituency: Alumni Alumni Information: International Salutation Donors – Donors – Constituents (highlight all that Degreed only Degreed and (highlight all Non Degreed Formal Employer apply, and specify for that apply, and Salutation “other” if applicable) All All Donors specify for Constituents “other” if Date Range: Click here to enter text. All Foundations applicable) Organizations Other: (specify here for “Other”) Other: (specify here for “Other”)

Giving Level or (specify here) Sort By: Alpha Zip Report Range: (highlight your Fund Donation Donor Information: Date Range: (specify here) choice, and specify for Other: (specify here Designation/ (specify here) “other” if for “Other”) Fund: applicable)

Other details? Click here to enter text. (specify College, Department, Major, Program or Affinity) EMAIL THIS REQUEST TO: CALL WITH QUESTIONS: ANA ZEILER [email protected] ANA ZEILER 970.247.6179 OR OR

DANA JORGENSON [email protected] DANA JORGENSON 970.247.7223 ADVANCEMENT SERVICES USE ONLY Completed By: Click here to enter text. Date: Click here to enter a date. Reviewed By: Click here to enter text. Date: Click here to enter a date. Report Name: Click here to enter text. Emailed to:

created by DK Jorgenson 08-2014 created by DK Jorgenson 08-2014