Your name: *

Your telephone number:

Your Email: *

Department / Program: *

Division:

Position:
     Select one Administrator Faculty Classified Student

Is your supervisor / manager aware of this request? *

Yes

No

N/A

1. What type of project is this request for?

State or federal reporting

Grant proposal program

Program review

Accreditation

Shared Governance, advisory, or committee group

Equity Initiatives

Guided Pathways

Program, course, or department-level project

Learning Outcomes

Other

2. What is your research question(s)? *
Ex: My students pass my class, but are they graduating? How long does it take them to graduate?

3. What information is needed to help answer the research question?
Consider the following factors:
-Time period of assessment
-Student/Employee Characteristics
-Desired outcome
-Courses to be tracked

4. How will this research or information be used? Check all that apply.

Discuss the results with others

Develop additional questions to explore based on the results

Make changes to a program or service

Use the data to inform decision making

Apply for a grant or grant reporting

Use the data for planning purposes

Use the data to establish goals and/or benchmarks

Evaluate a program

Develop interventions or strategies

Other

5. How often do you anticipate this request will need to be filled?

One time

Each Term

Annually

Other

6. When is the data needed? Please note, we ask that all requests be submitted at least 2 weeks in advance.