Alumni and Advancement Services Tel. +61 3 9925 5222 Fax: +61 3 9925 2548 Email: alumni@rmit.edu.au www.alumni.rmit.edu.au Alumni Request Form RMIT Alumni & Advancement Services can provide you with information, statistics and contact details for specific RMIT alumni groups, and send communications on your behalf, subject to approval. If you have any questions, please contact us on the number above. Instructions Email completed form and attachments to alumni@rmit.edu.au. Your details Date: DD/MM/YYYY Name: <your name> Tel: <contact number> Position: <your position title> Department : <enter details here> Office location: <enter details here> What is the purpose of your request? Event promotion Alumni Network Interest Alumni Data Poll/survey Mailing List Other: <enter details here> Please give a brief summary (be as specific as possible): <enter details here> Your target demographic Please indicate which group(s) you would like to contact: Location (required) Global (default) Australia Victoria Other (please detail): <enter all relevant details here> Education criteria (Optional – tick any that may apply) Graduation year(s): <optional> College(s): <optional> Program code(s)/names(s): <optional> List any other criteria: <list any other relevant details here> School(s): <optional> Alumni and Advancement Services Tel. +61 3 9925 5222 Fax: +61 3 9925 2548 Email: alumni@rmit.edu.au www.alumni.rmit.edu.au Data Request Please indicate the information you require: Name Postal Address Gender Employment Details (Employer and Position) Age Qualifications Other: <enter details here> Communications Request We can communicate to alumni on your behalf to alumni via: RMIT Connect (monthly email to 60,000 alumni) Social media channels (including Facebook and LinkedIn with 20,000 alumni combined) We will contact you and advise the most effective communications channels for your request. Request conditions (required) DD/MM/YYYY : Date you require the data /communication to be delivered. (A minimum of 10 working days is required) I have attached electronic copies of all text and images I wish to include in my communication (if applicable). I agree to provide the Alumni & Advancement Services office with any updates I receive (if applicable). Updates include: Change of address details, email details, RTS (Return to Sender) mail etc. I agree to provide the Alumni & Advancement Services office with a list of the event attendees (if applicable) I agree that this information will only be used for the purpose outlined on this form. In accordance with RMIT’s privacy policy, I agree that all information accessed or received by me from the Raisers Edge database through the Alumni & Advancement Services office will be used on a confidential basis for approved RMIT activities only, and must not be disclosed to any other person. Office Use Only Date Received Reviewed By: Approved: (Yes/No) Date Client Contacted: Date Completed: