Submitter Information

* indicates required

First name:

Last name:

E-Mail Address:



Primary User Information

Are you the primary user of this requested information/report? Y N

If not, who will be?

Project Description

Requested Due Date

Brief Description

What is the purpose of this request/what question(s) are you trying to address? *

Is this request similar to or the same as a previous requested report? Y N

Does this project require or have you received IRB approval
(i.e., for publication or involves student identifiable information?

IRB Approval Required? Y N Don't know

IRB Approval Granted? Y N NA

Does the need relate any of these purposes?

Accreditation Grant Survey USAP Internal department/office need Other need

Report Specifications

Population: Students Employees

Additional population specification (e.g., beginners, specific major/programs etc.):)

Time Period (state specific terms, years, etc. or period ranges:)

What is the anticipated frequency for this request (e.g., Once, Daily, Weekly, Every term, Year-End etc.)?

Population Context: Census End of Term (EOT)

Project Scheduling and Other Small Print

Normal turnaround time is within three weeks (15 working days).