Institutional Research Data Request Form  
 
 
 
Date Request Submitted:   
 
Name and Title of Person Making Request:   
 
Check one:  Faculty 
 Staff 
 Off-Campus 
Department/Office:   
 
 
Email:   
 Phone:   
 
 
Information/Data Analysis Requested: 
 
 
How will data analysis/information being requested be used? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please email the form to helpdesk@uvi.edu or contact Mrs. Laurie Blake, lblake@uvi.edu or x1017. 
 
 
For Office Use Only 
Name of Project/Report:   
 
 
Date Request Received:   
 
Type of Request:  Internal 
 Federal 
    Staff 
Staff Assigned:   
 
        
Date Completed:   
 
 
    Other External      Institutional Effectiveness 
Agreed Deadline Date:   
 
 
Number of Staff Hours:   
 
Data Needed for 
Program Review 
Accreditation 
Grant 
Federal Reporting 
College Reporting 
Other: 
Year(s):  
Term  
 
Fall 
 
Spring 
 
Summer