Columbia College Research Request Form
Date (today's date):
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This form is for Columbia College staff and faculty requests only. We reqret that we are unable to accommodate external requests for data and research that are not connected with this college at this time.
The date this project will be needed:
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Your name and title:
Your answer
Department or service requiring this request:
Your answer
Preferred phone number (or cell):
Your answer
Preferred email (for your confirmation receipt):
Your answer
What is the underlying reason for this request?
How will the results of this research be used and who will have access to the results of this research? Please be specific:
Your answer
Your assessment of the level of sensitivity regarding this request:
If known, the data resources you prefer we use to complete this project?
Required
Last Question: If other information is available that could help explain, define, or develop this research project, please explain below. You may still be asked for additional information prior to processing.
Your answer
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