Research Request Form

First & Last Name:*

E-mail address:

Department:*

Manager's Name:*

Manager's E-mail address:*

Please describe your request:*

Who will be using this information?

Is it a committee, or an outside agency? Please provide some information about who will be using the results of your request, and how.

Please upload any document or file that is relevant to this request (e.g. a past survey or report you need updated for your department, reference material, etc.)

Drag and drop files here or

Requested date of completion:*

Please allow at least three weeks for the completion of your request. MM/DD/YYYY

Send me a copy of my responses