Data Request Form Livingstone College: Office of Institutional Effectiveness and Research Date MM slash DD slash YYYY Requestor:(Required) Full Name Department(Required) Office Phone or Extension(Required)Email(Required) This request is being made by:(Required) Faculty Staff Other Request needed by:Please note that request may take up to a week during busy periods MM slash DD slash YYYY Purpose of Request:(Required)Please give a brief reason for making this request and how you will be using data (e.g., grant writing, assessment report, etc Description of the Request:(Required)Please provide a detailed description of the data requested (e.g., student enrollment, retention rates, classifications, etc.Terms:(Required)Indicate the years/semesters/sessions desired. Selection Criteria:(Required)Please indicate the selection criteria for the student population (e.g., Traditional, graduate, first-time students, returning students, full-time, part-time, etc.). Preferred format of results:(Required) Excel PDF Printed Copy Please provide any other information related to your request. You may attach a sheet, if needed.Max. file size: 256 MB.
