The State University
of New York

Undergraduate Admissions

Counselor or Alumni Outreach - Result Form

After each phone call:

For each student (or parent) you speak with, complete an entry via this Call Campaign Form. You will need to provide the following information:

  1. Name of Student
  2. Student's Reference #
  3. Date of Call
  4. Additional Comments or Feedback
  5. Call Result
  6. Your Name 
Call Result (check all that apply):
Call Result (check all that apply):
Only answer question below if you have spoken with the student or parentt: