Data Request Form

Data Request Form
Please complete form and submit electronically or print and submit to the Office of Planning, Research and Effectiveness. Failure to provide all requested information may result in a delay in processing your request. (Note: The Office of Planning, Research and Effectiveness produce several publications including Student Trends, Fall Quick Facts and the Annual Fact Book which contain data specific to SPC. Please visit our web page web page, to determine if the information you are requesting is already available.)


SECTION 1: Requestor Information
Requestor:
Title:
Location:
Department:
Address : (If Off-Campus)
City, State and Zip: (If Off-Campus)
Phone Number:
FAX Number :
E-Mail:
SECTION 2: Justification (as it relates to the College Goals and Strategic Directions) Select any that apply!
Goal I: Access to Higher Education
Strategic Direction: College Access and Community Involvement

Goal II: Student Support
Strategic Direction: Culture of Student Success

Goal III: Workforce Development
Strategic Direction: New Program Development

Goal IV: Capacity to Serve

Goal V: Organizational Communication
Strategic Direction: Faculty and Staff Collaboration and Coordination


SECTION 3: Request
Priority (High, Medium, Low)

Clearly describe your request (i.e. term, variables to include, format or results, etc.)

Will you need this report on a regular basis? YesNo
If yes, how often?
How would you like us to respond to your information request?
E-mail FAX Postal Mail (or Pony if ACCD) Phone