GWC ORPIE - Research Request Form
GOLDEN WEST COLLEGE
Business RM #201-206
(714) 895-8727
Date of Request *
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Date Needed *
Please be advised that due to the high volume of requests and projects the Research Office has received, the data you request might take longer than the normal 4 weeks to complete. However, each research request will be reviewed on a case-by-case basis. One of our Researchers will connect with you soon to provide a more clear timeline. Thank you for your understanding.
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Requester Name: *
Your answer
Department: *
Your answer
Requester Phone Number: *
Your answer
Email Address: *
Your answer
Describe your research request: *
What question(s) are you trying to answer?
Your answer
Select demographic categories you wish to include in the report:
(Select all that apply)
Has this office provided similar data/reports to you previously?
How do you plan to use this data? *
Your answer
By checking this box, I acknowledge that the data I am requesting from the research office may be routed to the appropriate manager in my area. *
Required
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