Data Request Form

Complete the form below to request data. Please allow a minimum of 14 days to process this request.

Date by Which Data is Needed Date by Which Data is Needed * / MM / DD YYYY
Name Name * First Last
Department / Agency *
Phone Phone * - ### - ### ####
Email *
Please describe the reason for making this request and how the data will be used (e.g. grant proposal, program review, survey, marketing purposes, etc.) *
Please provide a detailed description of the data being requested (e.g. student headcount, FTE, SCH, degrees conferred, faculty headcount, etc.) Please attach a copy of any survey instrument(s), questionnaire(s) or other materials that are related to your request. *
Upload a File

Attach Files
Please check any applicable sections below to help clarify your request. *

Please check any applicable sections below to help clarify your request. Student Full-time Undergraduate Faculty/Staff Part-time Graduate Other Other
Semester(s) or Academic Year(s) to be included in the request. *