PIR Request Form Survey

Please complete the following form for all research requests from Planning and Institutional Research (PIR). PIR will contact you to discuss the details of this project within two business days.

1. Requester Information:

Requester Information: Name:
Title:
Work Phone:
E-mail Address:
Department/Division/Office:
Campus:

2. Type of information being requested: (Select as many as may be appropriate.)

Type of information being requested: (Select as many as may be appropriate.) Admission

Campus/Program

Carl Perkins Performance Measures

Occupational Education

Comparable Institutional Information

Demographics

Enrollment

Full-Time Student Equivalent (FTSE)

Full-Time Faculty Equivalent (FTFE)

Graduates/Completers

Grants

Institutional Effectiveness/Accreditation

Integrated Postsecondary Education Data (IPEDS)

Labor Market

Placement Testing

Program Review

Retention and Persistence

Student Learning Outcomes (Assessment)

Survey

Transfer/ASSIST

Other (please specify)

If you selected other, please specify:

3. Research Questions: (Please provide PIR with the complete question you would like to pose.)

Research Questions: (Please provide PIR with the complete question you would like to pose.)

4. How does this project relate to the College Plan or our institutional goals? (Please provide a detailed reference to which initiative, strategy and/or goal this applies.)

How does this project relate to the College Plan or our institutional goals? (Please provide a detailed reference to which initiative, strategy and/or goal this applies.)

5. Does this project relate to Program Review and/or a request from a Standing Committee? (Please provide details.)

Does this project relate to Program Review and/or a request from a Standing Committee? (Please provide details.)

6. Special Considerations: (Please provide us with any considerations that you deem appropriate.)

Special Considerations: (Please provide us with any considerations that you deem appropriate.)

7. How would you like the information/data returned to you? (examples: Excel spreadsheet, summary report, raw data, etc.)

How would you like the information/data returned to you? (examples: Excel spreadsheet, summary report, raw data, etc.)

8. Will you need this same information in the future? If so, how often?

Will you need this same information in the future? If so, how often?

9. Any associated deadlines?

Any associated deadlines?

10. Have you worked with a Planning and Institutional Research representative before on a similar project? If so, who was the individual and what was the project?

Have you worked with a Planning and Institutional Research representative before on a similar project? If so, who was the individual and what was the project?

11. When do you require the data?

	MM		DD		YYYY
Date:	When do you require the data? Date: Month	/	Day	/	Year