REQUEST FOR DATA AND/OR ASSISTANCECenter for Institutional Effectiveness Survey

Thank you for your interest in Institutional Data!

The time to complete your request depends on the complexity of the request and availability of our staff. Occasionally delays may occur based on available resources and workload. Please allow at least 2 weeks for your request and give us as much advance notice as possible if you are working with a deadline. Send an email to dreeder@haskell.edu if you have any questions or concerns about your request.

We have a general information already available on the site that you may be able to use.

1.Requestor Information(Required.)

First Name

Last Name

Job Title

Department/Organization

Contact Phone

Contact Email

Request Due Date

2.Type of Request:

This is for use by an external agency.

This is for use by a Haskell Indian Nations University office/department.

Other (please specify)

3.Purpose of Request:
What will the data be used for? Please be as SPECIFIC as possible.(Required.)

4.Description of Request:
Please describe in detail the data that are needed for this request including:
-Timeframe (Semesters or years to include)
-Population (Undergraduate, Specific Majors, etc.)
-Information Needed (Count, Hours Enrolled, etc.)
Disclaimer: Do not include sensitive data such as Social Security Number, StudentID, or any other identifiers.(Required.)

5.Do you have supporting documents to upload?

Please upload your file here.

No file chosen

6.Is this a recurring request?

Yes

Possibly

If YES, when is this request generally due (yearly. quarterly or monthly)?

Center for Institutional Effectiveness

Haskell Indian Nations University
155 Indians Avenue, Box 5023
Lawrence, KS 66046