All data requests are approved by the Director of Planning and Research,  Tracy Somerlad.  Persons outside of Brunswick Community College may require IRB approval.

Question Title

* 1. Name of Requestor

Question Title

* 2. Which best describes your role? (persons and entities outside the College may require IRB approval)

Question Title

* 3. Department/Organization/Business

Question Title

* 4. Job Title

Question Title

* 5. Email Address

Question Title

* 6. Phone (in case there are questions)

Question Title

* 7. Date Needed

Question Title

* 8. What is the data is related to? (check all that apply)

Question Title

* 9. Describe the data request in detail, and indicate what the data will be used for.

Question Title

* 10. What should the data include? (please be very specific - data points, range, etc.)

Question Title

* 11. Please indicate in what format you would like the data. (check all that apply)

Question Title

* 12. If you have a sample, please upload it here.

DOCX, DOC, JPEG, GIF, JPG, PDF file types only.
Choose File

Question Title

* 13. Is there anything else that we need to know about the request?

( Privacy & Cookie Notice

T