Data Request Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Are you a South Arkansas Community College employee, student, or other?

EmployeeStudentOther

Department/Organization (employees and students only)

Describe your request in detail below. Please include:

Purpose of the request (grant proposal, assessment, survey, etc.) - Description of the data needed (student enrollment,graduation or retention rates, employee headcount, etc.) - For what time period (current semester, most recent fall semester, etc.) - Student type (undergraduate, first-time, transfer, etc.)

Priority

HighMediumLow

Date needed by:

Date

Will this be a recurring request? If so, please describe when this request needs to be completed on a recurring basis. For example, one week prior to the start of the fall semester or on the last day of the month.

Is the purpose of this request for program review or accreditation? If yes, the Institutional Research staff will schedule a meeting to discuss information that can be provided.

YesNo

Please direct any questions to Christy Wilson at cwilson@southark.edu or Ashley Holt at aholt@southark.edu.