University Advancement Services Information Request Form

Requestor Information

Please provide your contact information below.

Name:*

First Middle Last

Phone Number:*

Email:*

Department*

Request Type (select one)*

Requested Completion Date*

Please describe the information, link, or support that you need and how it will be used*

Will this data be used for a solicitation (ie, will you be asking for a donation)?*

Yes
No

Will this data be used for a MAILING?*

Yes
No

Mailing Date*

Will this data be used for an E-MAILING?*

Yes
No

E-Mailing Date*

How would you like us to provide data? As 1 record per Household -or- 1 record per Person

1 per Person
1 per Household

Are you requesting Giving/Fund/Gift history information?*

Yes
No

Beginning Gift Date Range*

Ending Gift Date Range*

Specific Fund(s)/Department(s)/College(s)?

Upload any supporting files we will need to process your request

Drop files here or

Accepted files must be .jpg, .png, .pdf, .docx, .doc, .txt, .csv, .xlsx - and be 1MB

Questions / Comments/Additional Information

Questions/Comments/Additional Info

Confidentiality Statement*

I agree to abide by the terms of this Confidentiality Statement

The requested information will be used for official NMSU approved business only. I understand that in the course of my work activities I may have access to documents, data, or other information which may be confidential and/or privileged from disclosure, whether or not labeled or identified as “confidential.”

Except as required by my activities, I shall never, either during or after my employment with New Mexico State University, directly or indirectly use, publish, discuss, disseminate, or otherwise disclose to any third party, or use for personal gain, any information acquired in the course of my activities.

I understand that all materials will be stored and used in a manner that will assure their absolute confidentiality.

I understand that adherence to this agreement is fundamental to my continued employment within the University and that any breach of this confidentiality agreement by me may result in disciplinary proceedings by the University.

I have read and will abide by the terms of the confidentiality statement above.