Office of Institutional Effectiveness, Research and Planning

DATA REQUEST FORM
for
Institutional Research & Evaluation

Please complete the following form completely:





  
Name:
  
Department/Unit:
  
Phone Number:
Enter phone number as Ex. 4042254400.
  
E-mail Address:
Important information will be sent to this address. Ensure that it is valid.
  
Fax Number:
Enter fax number as Ex. 4042254401.
  
Date submitted:
Please enter as Example: 09252013
  
Please indicate if you are:




  
Please describe your data request/question here:
  
Please specify the reporting period (i.e. semester, academic year, term(s))
  
Please describe the reason for the request/how you plan
to use the data (grant compliance, strategic planning link, etc.):
  
Please specify the anticipated frequency for this request?   One-time     Term      Annual  
  
Date needed (mm/dd/yyyy)
(please allow a lead time of at least two weeks):
The Office of Institutional Research strives to fill all requests in a timely manner. If we anticipate there will be an issue completing your request, you will be contacted to discuss the timeline. If this is a critical deadline, please explain.
  
Remarks or Comments:
  
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