Data Request Form

Department/Organization: *

Name *

First Name Last Name

Email *

example@example.com

Phone: *

Status: *

Other:

Specific Data Requested: What group or cohort is used? What information is needed? (ex: Names and emails of all current Engineering majors, enrollment history for PSYC courses for the past 5 years, etc.) *

How will the data be used? Who is the intended audience? (ex: ABET accreditation, departmental review, etc)

With whom will the data be shared?

Additional information about request:

Have you discussed this request with your chair or supervisor?

Yes No

If yes, who is your chair or supervisor?

Please attach any relevant documentation:

Browse Files

Please check next to each statement: *

I understand that this request may take at least 2 weeks to be generated. When practicable, requests will be processed more quickly depending on the complexity of the request and other existing priorities. I understand that data requests involving sensitive or personally identifiable information may require additional time due to required approval procedures.