Research Request Form

To help us organize, prioritize, and track our work, we have created a research agenda. Please take some time and consider the data, information, or research your division, departments, or committee will need. If you would like assistance from the Office of Institutional Research and Planning, complete the following research request form (one form for each project). This information will help us plan to ensure that resources are available to meet your needs.

Please fill out to request information.

Requested by: (Name of Individual, Department, Division, or Committee)*
Contact Name:*
Email*
Project Name:*
Today's Date*
MM slash DD slash YYYY
Date Needed:*
MM slash DD slash YYYY
1. Project Description: Please describe your request in detail, including the scope, specific variables and time frames, etc.*
2. What questions do you want the data to answer?*
3. What format would you like the data to answer? (Select One)*
4. How will this information impact current practice?*
5. Please specify how the project supports applicable college plans (Master Plan, Institutional Goals, Unit Plans, divisional/departmental/program plans, etc.)*
6. Will the project become recurring?*
- Yes
- No
If yes, how often and when?
7. This data will help us measure the extent to which we meet an objective or outcome (key performance indicator) specified in our three-year plan.
- Yes
- No
If yes, please state the objective/outcome as described in your plan.
PLEASE CHECK EACH OF THE FOLLOWING THAT APPLIES TO YOUR PROJECT*
- Required for departmental, divisional or institutional accreditation
- Will help assist student learning and success
- Will provide data for a grant proposal
- Will provide date for program review and planning
- Other
13. Please explain how you intend to use the information. In other words, as a result of this activity what will you have gained?

Institutional Research and Planning

Institutional Research and Planning

Research Request Form

Research Request Form

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Institutional Research, Planning, Effectiveness, & Grants

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