Data Request Form

Please complete the questionnaire below when asking the Office of Planning, Research, and Institutional Effectiveness (PRIE) for assistance. If you would like to speak with a researcher from the office in addition to submitting the form, please contact Karen Engel, Dean of PRIE, at engelk@smccd.edu. Thank you!

Date of request (today's date)*

When do you need this data or information?*

Your Name*

First Last

Your Phone*

E.g. (XXX) XXX-XXXX

Your email*

Your prefered contact method*

Select or enter value

What question(s) are you trying to answer with this data or information? Please be as specific as possible.*

What information or data are you requesting? Please be as specific as possible. Include examples if possible.*

Please attach any additional information that whould be considered for this request.

Drag and drop files here or

Please tell us how you intend to use this information.*

Select or enter value

If "Other" selected above, please specify.

Would you like to discuss your request with a researcher from the PRIE Office?

Select or enter value

If you are a faculty or staff member, have you discussed this request with your Dean or Supervisor?

Send me a copy of my responses

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