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Mesa College Research Request Form
All research requests, including those to the SDCCD Office of Institutional Research and Planning, are processed through the Mesa College Office of Institutional Effectiveness.

To submit a request for research, please complete this online form, print the signature page, submit the form electronically, and return a copy of the signed form to the Campus Based Researcher in the Office of Institutional Effectiveness, Room A-109. Please also contact Bri Hays, Campus Based Researcher, at (619) 388-2319, to schedule a meeting to discuss your request.

Please Note: In order for your request to move forward, please also make sure that you have reviewed and signed a copy of the college's Guidelines for Implementing a Research Planning Agenda (GIRPA), available here.
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1. Requestor Information
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2. Research Question

What is the problem you are trying to solve or question you are trying to answer?
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3. Project Data Collection and Analysis:

Which of the following will the project require?
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4. Purpose of Request

To assist us with processing your request, please indicate the reason for your request. Please select all that apply.
5. How will the data be utilized? Please be as specific as possible.

Example: The data will be used to inform changes to workshop content.
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6. Relevance to College Planning

Which of the following plans or initiatives is/are related to your project?
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7. Project Timeline

When you need the requested data products? Please enter the date in the MM/DD/YYYY format.
8. Does this deadline depend on an external agency's (e.g., CCCCO, Department of Education, etc.) deadline?
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9. Project Parameters

Please describe the population of interest for your project (e.g., intended survey respondents, students enrolled in a course or program, students who received services or participated in program activities, etc.).
In order to complete your research request, you must sign this form, review and sign a copy of the college's Guidelines for Implementing a Research Planning Agenda (GIRPA), and obtain your dean's (or appropriate manager's) signature.

Please follow these steps to proceed with your request:

1. Print and sign this page before clicking Submit.

2. Click Submit to submit your request electronically.

3. Review and sign a copy of the college's GIRPA, available here.

4. Obtain your dean's or appropriate manager's signature on the printed copy of this request.

5. Submit your signed GIRPA form and signed confirmation/signature page to Bri Hays, Campus Based Researcher, in the Office of Institutional Effectiveness, Room A-109.

The above steps must be completed in order for your request to be processed.
10. Requestor Signature

Please remember to print this page before submitting!
11. Dean or Manager Signature

Please remember to print this page before submitting!