LAS Data Request Form

Name: *

Title: *

Department/Program Name: *

Email: *

Extension: *

Data query type needed: *

If "Other," please describe: *

Frequency of request:One-time request
Weekly (up to 10 weeks)

Provide specific description of data needed: *

What is the need-to-know rationale? Who will use this data? What will data be used for? *

Check fields needed in data file:Credit hours enrolled for current term
Cumulative GPA (available to Chairs and Assistants only)
Email Address
Faculty Advisor assigned to major
Subplan/Concentration
Student ID Number
Student Plan (i.e., major, double major, minor, or certificate)
Total Credit Hours

LAS Technology Center

Smart Form Standard Web Part 2

Requester Information

Requested Information - One Request Per Form