DATA REQUEST FORM
Office of Institutional Research, Assessment and Planning
4200 Connecticut Avenue N.W.
Washington, D.C. 20008
Telephone: (202) 274-5012
Fax: (202) 274-7060
* Required
Date
*
Due Date
*
Note: There is a 12-14 day turn around period for data request
Name
*
Title
*
Office/Unit
*
Data Being Requested:
*
Please be specific in your request
How Will the Data be Used:
*
Priority
*
Low
Medium
High
Critical
Comments
Your Comments will be Considered in the Prioritization Processes
Contact Address:
*
Telephone, Fax, Email Address
Mailing Address: