Foothill - De Anza Community College District
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Research Request Form
Your name *
Your telephone number *
What is your affiliation FHDA? *
Department/Program *
Is your supervisor/manager aware of this request?
What type of project is this request for?
What is your research question(s)? *
Ex:  My students pass my class, but are they graduating?  How long does it take them to graduate?
What information is needed to help answer the research question?
Consider the following factors...1) Time period of assessment; 2) Student/Employee characteristics; 3) Desired outcome; 4) Courses to be tracked.
How will this research or information be used?  Please select all that may apply.
How often do you anticipate this request will need to be filled?
When is the data needed?  Please note, we ask that all requests be submitted at least TWO weeks in advance.  
Please enter the highlighted word below to authenticate the research request. *
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Please enter your email address *
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