1. Contact Information

Please Note: Use this online form only to request data from UC Clermont Institutional Effectiveness. The time from request to delivery depends on the complexity of the request and availability of staff. Please provide as much advanced notice as possible if you are working with a deadline.

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* Name

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* Email

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* Phone

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* Status:

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* Type of request (check all that apply)

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* Type of data requested (check all that apply)

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* Describe the request (include specific data elements you need included)

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* Upload related files, if necessary

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* Please specify the year(s)/semester(s) requested (current semester, Fall 2017, Academic Year 2016-17, etc.)

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* Purpose of request (How will it be used? Who is the intended audience?) [check all that apply]

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* These data will be used for (check all that apply)

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* Date needed by

Date / Time

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* Is this a recurring/cyclical request (Do you need these data every semester, annually, etc.)?

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* If yes, how often/when do you need the report?

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* I confirm I have reviewed the FERPA reference sheet (for faculty at http://www.uc.edu/content/dam/uc/registrar/docs/FERPA/FERPA_for_faculty.pdf) (for staff at http://www.uc.edu/content/dam/uc/registrar/docs/FERPA/FERPA_for_office_personnel.pdf)

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* I confirm I have reviewed the UC Data Governance & Classification Policy 9.1.1.A Data Classification and Data Types at http://www.uc.edu/content/dam/uc/infosec/docs/policies/Data_Governance_and_Classification_Policy_9.1.1.A.pdf and will apply the appropriate reasonable level of security to protect these data.

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