Institutional Research, Effectiveness, and Planning

Information Request Form

Name
First Last
Department/Company
Email
Enter Email Confirm Email
Phone
Fax
Date needed by
MM slash DD slash YYYY
Please note that if a request requires access of system data and analysis, the processing time could vary. A representative from our office will contact you within 48 hours of the initial request.
Request (please be specific)
Purpose (How will results be used/applied?)
**If you are requesting sensitive information for a research project or other external purposes you must receive and submit an Institutional Review Board (IRB) approval letter before your request can be processed. Visit the IRB page to learn more information.**

If you do not receive a response within two business days please call Institutional Research and Planning at (662) 846-4050.