Columbia College Research Request Form
Date (today's date):
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:
Your name and title:
Department or service requiring this request:
Preferred phone number (or cell):
Preferred email (for your confirmation receipt):
What is the underlying reason for this request?
Federal or State Reporting
How will the results of this research be used and who will have access to the results of this research? Please be specific:
Your assessment of the level of sensitivity regarding this request:
High Sensitivity (the project will report, or require individual personal and/or confidential data)
Moderately Sensitive (project may report, or require some potentially personal/confidential data)
Neutral (project could be altered to reduce or eliminate the need for confidential informaton)
Not sensitive (for example, an anonymous survey, or data that is classified as public information)
If known, the data resources you prefer we use to complete this project?
YCCD Data (e.g., college data, MIS, Census, DOF resources)
CCCCO MIS Data
Columbia College Staff, Student or local Community Surveys
Third party surveys (CCSSE, NSLVE, CTEOS, etc.)
Federal or State Resources
Labor Market Information (EMSI, DOF, etc.)
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service