Institutional Research, Assessment and Planning

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Instructions:

Please complete all sections of the Job/Data Request Form. Upon completion, submit your request to the Office of Institutional Research, Assessment and Planning by clicking the Submit Request button. An IRAP staff member will respond by phone or e-mail to discuss your request.

**Note: Fields that have an asterisk (*) are required**

Job/Data Request Form

*First Name:
*Last Name:
*Department:
Contact Name:
*Phone:
*Your Email Address:

*Request Needed by:	(minimum request processing timeframe is two weeks)
*Reason for the Request:	Please describe the reason for making this request or how you will be using this data. (e.g. Grant Support, Survey Development, etc.)
*Description of Request:	Important: Please Provide a very detailed description of the data requested. Describe the layout of the data and any desired grouping or sorting (e.g. sort by ethnicity). Include any selection criteria (e.g. First-time Freshmen, Chemistry majors, etc.), as well as terms (e.g. Fall 2005, AY 2005-06, etc). If you need assistance in detailing your report, please contact any member of the Institutional Research, Assessment and Planning staff and they will assist you in completing the form.
	(Note: Pasting text copied from MSWord will cause an error. First "Save As" your document with file type "Plain Text". This removes MSWord coding. Copy and paste the contents of your "Plain Text" file into this form field.)

	If you have already discussed your request with an IRAP staff member, please check the appropriate box so your request can be forwarded appropriately.
*Submit request to:	Not applicable Pete VanHamersveld, Associate Director, (310) 243-3825 Dr. Roger Reed, Research Analyst, (310) 243-2712 Jyenny Babcock, Special Projects Analyst, (310) 243-1004 Lisa Stallworth, Research Analyst, (310) 243-3722 Beatriz A. Newns, Information Resource Coordinator, (310) 243-3221