Donor/Alumni Database Request Form

All alumni and donor information is maintained by the Florida International University Foundation. If you wish to extract a list of your department alumni and/or donors, please fill out this form.

Terms and Conditions associated with this request are listed below. Please read and sign PLEASE carefully read the Terms and Conditions associated with this information and sign compliance agreement.

Please use our contact info listed on the webpage if you have any questions.

Requestor's Name: Requestor's Name: First Last
Email:
FIU Phone or Cell #: FIU Phone or Cell #: - ### - ### ####
CASE Unit Requesting List?
Maximum of 50 words allowed. Currently Entered: 0 words.
Requesting on behalf of:

Requesting on behalf of: Myself Other Other
Is this a one-time request?

Is this a one-time request? Yes If no, please indicate in the box below how often will you need this list?
What is the purpose of this request?

What is the purpose of this request? Mailing (USPS, etc.) E-mails (e-blast, personal) Phone Calls Reporting/Analytical Comparison Reporting for Data Integrity (For Internal Use ONLY) Other Other

Select all the apply.
Biographical Data Output:

Biographical Data Output: First Name Last Name Middle Name Home Address Information Business Address Information Preferred Address (could be home or business) Cell Phone Home Phone Business Phone Email Home Email Business Email FIU Degree FIU Grad Year FIU Major FIU Minor Please select any other information you wish to include in the file.

Please select all information you wish to retrieve from the database. NOTE, file will be sent in MS Excel format.
Please provide any additional details associated with your request.
Maximum of 500 characters allowed. Currently Entered: 0 characters.
For example, donors v. alumni, specific donor rating amount, years of graduation, include or exclude FIU Board of Trustees or FIUF Board of Directors.
Deadline Date? (Most requests will be completed within 5-10 business days. If you need this request sooner, please indicate deadline date below.) Deadline Date? (Most requests will be completed within 5-10 business days. If you need this request sooner, please indicate deadline date below.) / MM / DD YYYY
Please note that the CASE Advancement team is sharing with you information that forms part of FIU Foundation’s alumni and donor database system. This is confidential and privileged information, and it is our responsibility to help maintain its integrity to the best of our ability. As such, if any of the terms and conditions listed below are violated, our office will cease to fulfill any data request/s made by your office/area/department going forward. Thank you for your support and understanding.

TERMS AND CONDITIONS
1) I acknowledge that the data I am requesting will not contain any financial information. 2) I understand that the file I receive from the CASE Advancement Office contains confidential and privileged information and I will not share, sell, or send to any individuals/organizations outside of FIU (including but not limited to vendors, etc.). 3) I agree to send to CASE Advancement Office any and-or all biographical information received from the constituent as a result of my contact for the purpose of updating and maintaining data integrity. 4) I understand that the information in this file may become stagnant from one week to another and agree that it will be utilized one time only.
By signing in the space below, you agree to the Terms and Conditions above.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date signed Date signed / MM / DD YYYY