Development Donor Services & Reporting Request Form

Section 1: Requestor Information

First Name

Last Name

Department/Unit

Email Address

Phone Number

Supervisors Name (if applicable)

Section 2: Request Details

Type of Request

Please describe other request

Please describe the purpose of this request (i.e. describe the purpose, e.g. internal use, event planning, donor outreach, etc.)

Specific Donor Criteria (e.g. donation range, alumni class years, geographic location, specific fund or scholarship, etc.)

Report Time Period (please specify, e.g. last fiscal year, last 5 years, last quarter, etc.)

Additional Details or Instructions (Provide any additional information or instructions that may be useful for processing your request.)

Section 3: Deadline and Urgency

Preferred Deadline for Completion

Is this request urgent?

Yes

Reason for Urgency (Explain why this request requires expedited processing)

Section 4: Approval (if applicable)

Has this request been approved by your department head or supervisor?

YesNoNot Applicable

Attach any relevant files (supporting documents to clarify your request)

Section 5: Acknowledgement

The Purdue for Life Foundation owns alumni and donor information. The information you are requesting may be considered restricted under the Purdue for Life Foundation Data Access and Compliance Policy. Data such as phone numbers and email addresses are not publicly available and may not be released. Requestors who wish to contact alumni via email may use Marketing Cloud Email Service requests via the Office of Development.

View the Purdue for Life Foundation Data Access and Compliance Policy

Your electronic signature acknowledges that you have reviewed this policy and will follow the guidelines outlined in the policy. Unauthorized release or unauthorized use of for any purpose is strictly prohibited. Such unauthorized use could result in embarrassment or material harm to Purdue University, Purdue for Life Foundation, alumni and/or donors and may result in disciplinary action for the involved employees.

Requestor electronic signature

Contact Information