This form should be used to request institutional data and reports from Institutional Research. In order for us to provide the correct information for your needs, we would appreciate your help in defining the exact parameters of the data. Please fill in the following form as accurately and with as much detail as possible so that the data you receive fits your expectations. If you have any questions about the procedures or data availability, please call our office. Thank you.

*denotes required fields
*Full Name:
*Title:
Organization / Department:
*Phone:
*Email:
*Deadline:

Is this a recurring request?: (Have you submitted this or a similar request before)	Yes No
Use of this request is for:	internal purposes (TWU department) an external agency
*Description of Request: (What question are you trying to answer?)
Purpose of Request: (e.g., federal report, grant request, honor society list, etc)
Data Range: (e.g., Fall semesters, 2000-2005, non-duplicated, etc)
Format of Output: (If Other, specify in description)	Excel (preferred) Print-out Comma Delimited PDF Other
Data Fields: (e.g. name, person ID, gender, classification, etc.)
If you have any problems with this form, please contact irsfactbook@twu.edu