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Information Request Form
Common Data Set
Right of Access to Student Information
Date of Request
MM slash DD slash YYYY
Date Needed By
MM slash DD slash YYYY
Email
(Required)
Briefly State the Reason for this Request
Specify media/format of information returned
Email me at the address entered above
Paper printout delivered through interoffice mail
Other
Box Number
Other
Please identify selection criteria for this request
All juniors, students with GPA >3.0, enrolled Fall 1998, etc.
Please identify which data elements of this request are required
First Name, ID#, Mailing Address, etc.
Please upload any additional documents or information that will facilitate the processing of your request. This may encompass research proposals, official documentation, or any other pertinent materials.
Drop files here or
Select files
Max. file size: 50 MB.
Submitted By
Extension
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