Penn State Abington Institutional Research Data Request Form
Penn State Abington faculty, staff and administrators requesting data from the Institutional Research Group (IRG) must fill out this form completely and submit. This form will assist in ensuring the completeness of the data requested and provide the opportunity for immediate clarification of the request if necessary. Your request will be processed as quickly as possible, but please allow two weeks as a minimum. Unless otherwise specified, data will be sent to the requestor in an excel spreadsheet format on a floppy disc. The data provided is only intended for University use. 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 records.
NAME:		DEPARTMENT:
EMAIL:		TELEPHONE:
1. The purpose and use of the data request:

2. Type(s) of data base:
		Windows Users: Hold the Ctrl key down while clicking to make multiple selections. Mac Users: Hold the Command key (the Apple key) down while clicking to make multiple selections.
3. General description of data fields:

4. Reporting period:

5. How would you like the data sorted:

6. Date report required:

7. Would you like a call to discuss further?: Yes No
8. Other Comments: