Alumni Records Request Form

Agreement: I am a university employee and agree that the data requested will be used only for the purpose(s) described below and that the data will not be given, sold or otherwise made available to any third party.

PLEASE FILL OUT ALL APPROPRIATE MATERIAL, THEN PRESS REVIEW AT THE BOTTOM.

* = Required fields

First Name:*
Last Name:*
Department:*
Phone:*
E-mail:* (@wisc.edu address ONLY)
Date desired *(please allow five business days - enter a date only)

I would like a COUNT ONLY of the data fields I request below, rather than a list.
If you want a count AND a list, submit a separate request for both.

For what purpose are the data being requested?*

In a sentence or two, describe what you want "(e.g.: All chemistry majors who received master's degrees from 1970-79, living in California)":*

I. How do you want your list?

Please send the requested information in:*

Excel format
ASCII text format (use only if WAA will be sending your list to UW Bulk Mail Services for you)
5160 mailing label template (3 across/10 down) (Microsoft Word template, which can be used by you to print labels)

All electronic files are provided free of charge.

II. Who Do You Want in Your List?

School/college of degree:*

(check all that apply)
Agricultural and Life Sciences
Allied Health
Business
Education
Engineering
Environmental Studies
Human Ecology
Law
Letters and Science
Medical School
Nursing
Pharmacy
Veterinary Medicine

or All schools/colleges

Degree level:

All degrees or

(check all that apply)
Bachelor's
Master's
Doctorate
Certificate
Professional

Major(s) (specific three-digit code or exact major name) (Get majors list)

Class year:

Degree years:

Semester:
All
May
August
December

Gender: Both Male Female

Geographic:

Zip code ranges (specify) (Find zip codes)

States (specify):

Wisconsin counties (specify by name, with correct spelling): (Find WI counties)

WAA alumni chapter area

Birth date: from (dd/mm/yyyy): to (dd/mm/yyyy):

Spouse linking: (Putting spouses together so one mailing can go to one household with both spouses printed.)

No
Yes, but link only if both spouses are in the population specified by your criteria.
Yes, link all spouses, even those not in the population specified by your criteria.

International alumni:

None (if checked, list will contain only U.S. records)
All
Specific country/countries

Ethnicity:

All ethnicities or

(check all that apply)
African-American
Asian
Hispanic
Native American

III. What do you want in your list?

All available fields are listed (default items can be unchecked if you desire):

Salutation (Mr., Mrs., Ms., Professor, etc.)
Mail name (first, middle and last in one field)
First name
Last name
Spouse name
Maiden name
Preferred address (recommended)
Home address (including city, state, ZIP, country)
Business address (including city, state, ZIP, country)
All addresses (including city, state, ZIP, country)
County
Preferred phone
Home phone
Business phone
All phones
Preferred e-mail
Gender
Date of birth
Date of death
Ethnicity
Primary company (current only)
Primary job title (current only)
College name
Major name
Degree year
Degree type (BS, MA, PhD, etc.)
Undergrad preferred reunion year (per WAA)

Sort order: if you want the list sorted, indicate the fields and sort order below (e.g.: ZIP code, then last name)

Special instructions:

Please send my list to UW Bulk Mail Services on my behalf. I have already contacted Bulk UW Mail Services and given them the name of the list.

Please provide Bulk Mail list name:

UW BULK MAIL SERVICES REQUIRES THAT AN ACCOUNT BE SET UP WITH THEM BEFORE A LIST CAN BE GIVEN TO THEM. PLEASE CONTACT THEM TO SET UP AN ACCOUNT OR IF YOU HAVE QUESTIONS.

Press the PREVIEW button to look over your information before submitting.

* = Required fields