Please complete the following Request Form for all data collection and research assistance.  The Office of Institutional Effectiveness & Research will try and respond to your needs as soon as possible.
Requested Completion Date:		Contact Person:
Telephone Number:		E-Mail:
Select the type of assistance you are seeking:
	College / District Data	Special Research Project
	Survey Development / Administration	Programming
	Other
Describe the variables to be studied/identified: (please provide specific information such as semester/year, credit/non-credit, course/section, etc...
Questions or Comments should be submitted to Catherine Chapa at 921-5254 or cchapa@accd.edu.