Office of Institutional Planning, Research and Assessment

DATA REQUEST FORM

The purpose of this form is to allow OIPRA to better understand the data/report you are requesting and the time frame in which you need a response. We recommend that data requests be submitted a minimum of two weeks in advance of your needs.

Question Title

* Your Contact Information

Department / Office / Organization:

First Name:

Last Name:

Email:

Phone:

Question Title

* Status

Faculty

Staff

Student

Other (please specify)

Question Title

* Request Description
Be as specific as possible. For example, if you are seeking information about students, we need to know what type of students: traditional undergraduates/ADP, women, first-time Freshmen, etc.

Question Title

* Purpose of the request (Please check all that apply)

Measure objectives or outcomes specified in the college’s Strategic Plan

Complete required data for a grant accountability report

Provide data for a grant proposal

Complete requirements for State, Federal, or President’s Office

Complete requirements for institutional accreditation

Evaluate a program

Assess student learning (i.e. persistence, pass rate, graduation, transfer)

Inform decision making for a division/department/program

Establish goals and/or benchmarks for a division/department/program/class

Inform/develop interventions or strategies for a division/department/program/class

Develop questions to explore based on the results

Other (please specify)

Question Title

* Year(s) and semester(s) for which data is being requested (Fall data is usually used for official reporting)

Fall

Spring

Fall & Spring

Summer, Fall, and Spring

Year(s)

Question Title

* Needed by
Note: We recommend at least 2 weeks notice. Less than 2 weeks notice, and we may not be able to meet your preferred deadline due to other commitments and/or the nature of your request.

Date / Time

Date

Time

AM/PM

Question Title

* Priority

1 (Low, Deadline is flexible)

3 (High, I must have this by the deadline)

1 (Low, Deadline is flexible)

3 (High, I must have this by the deadline)

Office of Institutional Planning, Research and AssessmentDATA REQUEST FORM

Question Title

* Your Contact Information

Question Title

* Status

Question Title

* Request DescriptionBe as specific as possible. For example, if you are seeking information about students, we need to know what type of students: traditional undergraduates/ADP, women, first-time Freshmen, etc.

Question Title

* Purpose of the request (Please check all that apply)

Question Title

* Year(s) and semester(s) for which data is being requested (Fall data is usually used for official reporting)

Question Title

* Needed byNote: We recommend at least 2 weeks notice. Less than 2 weeks notice, and we may not be able to meet your preferred deadline due to other commitments and/or the nature of your request.

Question Title

* Priority

Office of Institutional Planning, Research and Assessment

DATA REQUEST FORM

* Request Description
Be as specific as possible. For example, if you are seeking information about students, we need to know what type of students: traditional undergraduates/ADP, women, first-time Freshmen, etc.

* Needed by
Note: We recommend at least 2 weeks notice. Less than 2 weeks notice, and we may not be able to meet your preferred deadline due to other commitments and/or the nature of your request.