Research Request Form

Please complete the following information. Should you have any questions or need consultation, please contact the Office of Institutional Research (research2@barstow.edu). Note: Requests are prioritized by the Institutional Research Office in consultation with the Data Governance Group when appropriate.

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* 1. Date of Request

Date / Time

Date

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* 2. Date Needed (Please allow for a minimum of 2 weeks)

Date

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* 3. General Contact Information

Name of Requestor

Dept./Division

Extension

E-mail

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* 4. Project Title

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* 5. The information is needed to fulfill the following type of project:

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* 6. Please specify how the project supports applicable college plans (Strategic Plan, Institutional Goals, Unit Plans, division/department/program plans, etc.) >>Click Here<< to open Barstow Community College's Strategic Plan.

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* 7. In what format would you like the information? (Please provide a "mock-up" if possible)

Report (including narrative interpretation, graphics, etc.) Please note that this option will require consultation and editing time; this needs to be factored into the timing of your request.

Electronic copy - table of the results

Electronic copy - graphics of the results

Excel file (you will do your own statistical analysis)

Other (please explain):

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* 8. What questions do you want the data to answer?

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* 9. Please describe your request in detail, including scope, specific variables and time frames, etc.

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* 10. How will this information impact current practices?

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* 11. Will the project become a recurring one?

If yes, how often and when does it need to be scheduled?

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* 12. Does this project have a fiscal impact?

If yes, please explain.

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* 13. To whom do you intend to distribute the information from your request?

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* 14. Please upload any forms or documentation that apply to this request. For example, if there is a form that you have to fill out or a specific methodolgy, please provide that to us.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File