Information Services Athletic Request
Mail and email for same sport can be indicated on one request as well as multiple sports (if criteria is the same
for each sport). Please attach this document to an email addressed to sais@mtu.edu along with any images,
text, or other specifications.
Sport:
Basketball- Men’s
Basketball- Women’s
Cheerleading
Cross Country
Football
Type of List:
Mail
Tennis- Men’s
Tennis- Women’s
Volleyball
Other: ____________________
Hockey
Nordic Skiing
Soccer
Track
Huskies Club
Include Phone Number
Email where available else mail
Email
Purpose of List:____________________________________________________________________
Date Requested: _____________ Requested By: ______________ Date Needed:_______________
Further instructions: _______________________________________________________________
Is this a solicitation?
Yes
No
Send to:
Athlete Only
Send to the Athlete and include spouse
Yes
Do you want to include Donors to the sports selected above?............
Donated in Fiscal years.............................................. ________ to _________
Separate Donors from Athletes in final file........................................................
Current Michigan Tech Students.………………..
Canada……………………………………………………….
International (other than Canada)..……………………..
Exclude
Include
Email Requirements
From Name:___________________________ From Email:______________________________
(i.e. Mel Pearson)
(i.e. noreply@imodules.com)
Reply to Email: _________________________ Subject: _________________________________
(i.e. randyh@mtu.edu)
(i.e. [Michigan Tech] Hockey Reunion)
Please include and attach (along with this document) any images, text, or other email
specifications in the request sent to sais@mtu.edu
For Information Services Use Only:
Date Completed: ______________ Completed By: ________________
Final Count: __________ File Name: ______________________
Notes: _____________________________________________________________________________
Michigan Technological University Information Services
Form Updated: 08-APR-2015