Penn State Altoona - Request for Research Form

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Academic Information Request
Room Reservations | Registrar's Office | Office of Planning and Assessment

Penn State faculty, staff and administrators are encouraged to use this form when requesting information about students.

Before completing this form, if the information that you seek is about basic student enrollment information, such as total headcount, percentage of minority students, percentage of in-state or out-of-state, etc., please check the Strategic Indicators, Enrollment Profiles, Common Data Set, or other data that is provided on the Office of Planning and Assessment website under Indicators and Reports.

This form will assist individuals in formulating their request so that it may be filled as soon as possible and so that it may be the actual information that is needed by the end user.

Statement on Confidentiality: The student information provided via any report generator system is intended for University use only. Disclosure of the information to individuals or organizations that are not members of the University community is in violation of the University policy on confidentiality of student records.

Questions may be directed to the Office of Planning and Assessment, x5086.

The person making the request:

Name:		Office Address:
Department:		Email Address:
Phone:

1. To what group of students are you referring? (ex: students currently enrolled in major XXXX, all students enrolled for the current semester)

2. What do you want to know about these students? (ex: summary counts by category)

3. In what format are you requesting the output: electronic file, paper report? For electronic files, specify operating system, software package and software version.

Electronic File

Operating System:
Software Package:
Software Version:

Paper Report

4. How do you want the output to be organized? (alpha by student name, summary counts)

5. How is this information to be used? All requests will be kept confidential. Knowing the nature of the request and whether or not it is part of a larger project assists the office in generating information of a more exacting nature.

6. Are you willing to consider feedback from this office to provide you with more detailed information about the group of students you are defining?

Yes

Please allow at least five working days for your request to be processes. Advanced planning is recommended. Requests completed in less than five days will be forwarded as soon as possible. You will be notified if the information you are requesting is not available.

Thank you for using this form to make your request.

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