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Data Request Form

Faculty & Staff

Today's Date:
Name: 
Job Title:
Date Needed:
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Phone:
Fax:
E-mail
Department:
Data Requested For:
(Check all that apply and fill in year)
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Academic Year (ex. 2001 - 2002)
Fall

Fiscal Year

Spring  

Please provide a description of your request:

Briefly indicate use of data: