1. Campaign Request Form
PRE-APPLICANT
Please complete and submit this form to initiate your campaign data request. A separate form is needed
for individual campaigns with varying criteria. For questions or assistance completing the form, please
contact Stephanie Quintero (stephanie.quintero@asu.edu) or Maria Haugen (maria.haugen@asu.edu).
Please allow 2 weeks for your request to be fulfilled.
Requestor Information
Name:
Phone: ( ) Email Address:
Campaign Information
Campaign Name:
Purpose/Goal of Campaign
Target send date
(if single mailer)
Beginning Date of campaign (if part of series)
Completion Date
Note: Double-click on boxes to add check mark
Will counts be needed?
Yes No
Date Counts Needed
Date List Needed
Do you have content for mailers being sent?
Yes No N/A
Do you need assistance with content?
Yes No N/A
Project ID # (for CRM Team Use Only): ____________________________

2. Will campaign be part of a series (multiple steps)? Please fill out new section for each communication.
Yes No N/A
Campaign Request (Communication # 1)
Please fill out section for each part of series (or just this page if only 1 step) Each step of campaign will be a new page
Target Send Date End Date
Description/Goal of this communication
Will communication be one-time or recurring?
One-time Recurring
If recurring, how often?
Daily Weekly Bi-Weekly Monthly Quarterly
What type of communication/list is needed?
Mailer Letter Postcard (labels) Mailing List only Call List
Other: ____________________________
Lead Type?
a. FTF-Domestic b. TRN-Domestic Both a & b
c. FTF-International d. TRN-Domestic Both c & d
Parent Counselor Other: ____________________________
FTF Student Entry Term
Enter range if more than one year (ex: 2127-2147)
TRN Student Entry Term
Enter range if more than one year (ex: 2127-2147)
Student Status?
Prospect Suspect Other: ____________________
Project ID # (for CRM Team Use Only): ____________________________

3. Decile Score?
1 2 3 4 5 6 7 8 9 10 All
CI Score
Geographic Information (Please list: geomarket(s), state (AZ, OOS, or specify), or country if applicable)
Scholar Status?
Barrett Eligible Scholar Admissible National Scholars Other: _________________
Test Score Range
or High School %
Scholarships - Please list types of scholars/scholarships (ex: Deans, President, Natl Merit, etc)
Qualifiers?
Yes, I will apply ASU is in my top 2-3 choices I'm still considering ASU, need add’l info
Interested, but attending another institution Not Interested
WUE Eligible?
Yes No
Campus?
West Tempe Polytechnic Downtown Online
Institution (High School or College) List school name, code, recruiter
Interests/Major/ASU College-Please list interests or majors/college (use Talisma interest list for reference)
Project ID # (for CRM Team Use Only): ____________________________

4. Additional Criteria/Specifications
Example of mailer content (if being sent through Talisma)
Another communication or next step needed?
Yes No
Project ID # (for CRM Team Use Only): ____________________________