MJC Research Request Form
All research requests must be approved by a dean or department head.

Once submitted, the request will be reviewed by the Office of Research and Planning, and prioritized based on institution-wide research requests.

Name *
Your answer
Name of approving administrator *
Your answer
Division/Department *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
When is the data needed? *
Please allow 1-2 weeks for approval and an additional 1-2 weeks to complete the request.
MM
/
DD
/
YYYY
What question do you want this research or data to address or answer? *
Your answer
What do you expect the research to show? *
Your answer
Please describe the research or data that is needed to answer your question. *
Your answer
How with this research or information be used? *
Please select all that may apply.
Required
What is your preferred format for receiving the data? *
Required
Is there anything else you want us to know about this request?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms