Research Request Form Department of Research and Planning -------------------------------------------------------------------------------------------   Date:   Name:   Organization:   Department:   Contact person:   Email:   Which of the following best describes the research you need?   Demographic Data Assistance with a grant proposal Survey Program Evaluation Student Performance Data   Other   How often do you need this data?   Monthly Fall Semester -- each year Spring Semester -- each year Summer -- each        Other   Please provide a brief description of the work you need in the text box below:   Where will the research be disseminated?   Within your office Campus Community Community OrganziationsSpring Semester Government Agency Board of Trustees        Other   When do you need this completed?   Allow at least 10 working days for all projects, you will be notified if your project requires more time or less time to complete.   Other remarks: -----------------------------------------------------------------------   THIS SECTION IS FOR INTERNAL USE ONLY   Received Date:   Received By:   Estimated Completion Date   Actual Completion Date