Data Request
Name
Name
*
First
Last
Department
*
Institution/Organization
*
Phone
Phone
*
-
###
-
###
####
Email
*
Primary Status
*
Primary Status
Faculty
Staff or Admin
Student
Other
Other
Date Requested By
Date Requested By
*
/
MM
/
DD
YYYY
Type of Request
*
Type of Request
Data or Report Request
Data Analysis and Research
Research Consultation
Other
Other
Data will be used for
*
Data will be used for
Internal campus/departmental needs
Reporting to the PASSHE system
Reporting external to the PASSHE system
Other
Other
Type of Data Requesting
*
Type of Data Requesting
Student Enrollment Data (Undergraduate)
Student Enrollment Data (Graduate)
Admissions Data
Degrees Conferred Data
Graduation/Retention Rate Data
Faculty/Staff Data
Assistance with Survey Design/Implementation
Assistance with Institutional Assessment
Assistance with Accreditation
Please describe any relevant details of your data request, including the following:
-Explain why the data is needed, how you will use it, who the intended audience is for the data
-Describe any needed sorting/grouping (e.g., by part-time/full-time student)
-Identify any desired selection criteria (e.g., first-time freshmen) or program/major (e.g., Physics BS majors)
-Specify the time frame needed (e.g., Fall 2017 semester)
-Specify the recipient, if someone other than yourself.
*
Have you completed this request in the past?
*
Have you completed this request in the past?
Yes
No
If this request was fulfilled previously and you are requesting an update or modification to it, please attach a copy of the prior report to help facilitate your request.
Attach Files