While it is our goal to meet all service requests effectively and in a timely manner, the realities of workload and staffing necessitate that the Research and Planning Division must prioritize its activities. This form will allow us to effectively and efficiently evaluate requests. Please understand that the priorities we establish in response to multiple, simultaneous requests may not be the same as those of your clients. You may be contacted by a Research Associate concerning details of your request and a time frame for our response.

Question Title

* 1. Name of Requester:

Question Title

* 2. Requester Department or Affiliation:

Question Title

* 3. Requester email:

Question Title

* 4. Requester phone number: 10 digits, area code, and number (e.g., 317-123-4567)

Question Title

* 5. Please indicate a project completion date. (Either a specific date, or a range of dates which the project could be completed)

mm/dd/yyyy -or- mm/dd/yyyy--mm/dd/yyyy

Question Title

* 6. Expected time to be spent on this project:

Question Title

* 8. Reason for Request:

Question Title

* 9. Which service do you believe best fits your project? Please select all possibilities.

Question Title

* 10. Detailed Description of Report, Data, or Service Needed:

Question Title

* 11. Please indicate the grant that would support this project.

Question Title

* 12. Please provide any additional details that will help us respond to your request.

0 of 12 answered
 

T