Office of Planning
& Assessment

Data Request Form

Please visit our website first when trying to locate data. If you are unable to find the necessary information, please fill out the request form below.

* Indicates a required field

Name *

Institution/Organization *

Department:

Please indicate if you are *

Other (please specify)

Phone *

Email Address *

Fax

DESCRIBE THE PURPOSE OF THE REQUEST AND THE DATA NEEDED*:

Please provide as much detail as possible so that our office can help determine what data will fulfill your request. Should you have additional questions, please contact the office prior to submission for advisement.

1. Purpose of the information (i.e. data for proposal, assessment):

2. Description of the data needed (i.e. student enrollment, admissions, degree, graduation/retention rates):

3. For what period of time (i.e. current semester, Fall 2011):

4. Student type (i.e. undergraduate, graduate, freshman, transfer):

5. How data should be displayed/sorted (i.e. by gender, ethnicity):

Request Needed By Date:

Month

Day

Year

Office of Planning & Assessment

Data Request Form

DESCRIBE THE PURPOSE OF THE REQUEST AND THE DATA NEEDED*:

Office of Planning
& Assessment