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* Required Field
Requester Information
*Your Title
*Your First Name
*Your Last Name
Your Capacity
Your Department
Complete the next two fields only if you are requesting information on someone else's behalf.
Requester's Name
Requester's Capacity
Contact Information
*What is your preferred method of communication regarding this request?
*Email
*Phone
Fax
Address Information
Street 1
Street 2
City
State
Zip Code
Request Information
Please note that depending on the nature of the request, it may take 2-4 weeks for completion.
*1. What is the intended outcome as a result of this data request?

*2. How will this request inform decision-making at your department level and/or the college

3. If you requested this data in the past, who in IIR provided the information to you?

*4. Detailed Data Request (Please include variable descriptions such as term, academic year, etc.)



Preferred Completion Date
File Attachment
Acceptable file extensions: .doc, .docx, .pdf, .xls, and .txt
* I have read and understand the following statements:
Checkbox is a required field.

Data are collected from Colleague, a dynamic system; thus, administrative changes may occur when data are collected at a different point in time.


Please note that depending on the nature of the request and IIR workload at the time of the request, it may take 2-4 weeks for request completion.