The Institutional Research Data Request Form is designed to allow individuals to request data about the University, GIS analysis, or maps. Please use this form to request data not currently provided on the Office of Institutional Research website or in the MAPS/GIS repository. Requested data will adhere to guidelines set forth by the Family Educational Rights and Privacy Act (FERPA). Upon receipt of the data request we will contact you with any additional questions we may have, or you can reach us via e-mail at email@example.com. Name * Insert your name Expected due date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year201720182019 Telephone number Put your phone number or office extension here. Department/Office * What department or group is this request for? Email address * Insert your email address here Details of the request * Please indicate the type of information/data or maps you would like to request. Reason for the request * Please describe how the requested data will be used. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.