Research Request Form
Allan Hancock College
Office of Institutional Effectiveness
Phone # or extension:
Dean/Manager/Supervisor Name (If you are this person enter 'self')
Have you discussed this research request with your Dean/Manager/Supervisor?
N/A (I am the Dean/Manager/Supervisor)
By checking this box, I acknowledge that the data I am requesting from Institutional Effectiveness may be routed to the appropriate manager in my area.
Type of research needed (check all that apply)
Data Analysis (e.g., providing headcount/enrollment trends, descriptive statistics, correlational and other experimental research)
Data extraction (i.e., providing raw data)
Development of instrument (e.g., survey, focus group questions, report)
Implementation of instrument (e.g., distributing survey)
Purpose of project (check all that apply)
Individual faculty/staff project
Report to outside/external agency; State/Federal Mandate
Student academic progress and/or completion
Student learning outcomes assessment
Describe your project: What question(s) are you trying to answer? Please be as specific as possible so that Institutional Effectiveness can best provide appropriate data (e.g., how many students successfully complete XXXX course in X term (disaggregated by gender, ethnicity, and age)?).
The following selections should be reflected in the project description above so that the researcher can better understand the data you are requesting and how you would like it reported. Please respond only to items below that are relevant to your request.
Please include data from the following terms (check all that apply):
Please include data from the following academic years (check all that apply)
For what group or groups of students are you requesting information?
Students in general (no specific subgroups)
I have a list of specific students (please sent the list of students including H# in an excel file to
). Please include your name and project in the subject line.
N/A (not applicable)
Select demographic categories you wish to include in your report (check all the apply)
Enrollment status (first time student, returning student, etc.)
English placement level
Math placement level
ESL placement level
Is there a specific course(s) or program(s) you are interested in?
What course information are you interested in? (check all that apply)
Retention (i.e., received a grade in the course)
Success (i.e., received a grade of C or better in the course)
What type(s) of academic progress are you interested in?
Year to year persistence
Term to term persistence
Cumulative completed units
Progressions through sequential classes
What type(s) of academic outcomes are you interested in? (check all that apply)
Format of data/information requested (check all the apply)
Table of results
Graphic of results
Report (includes narrative interpretations and graphics; please not reports may require additional time to complete)
Text email reply with results
Desired delivery date of data/information (please allow 7-10 working days to process requests).
Please indicate if the project supports the following college goals, plans, or initiatives (check all that apply).
Educational master plan
Board of Trustee Report
If you checked any of the above projects, please specify how your activity supports the project. Please be as specific as possible (e.g., Student Equity Plan Goad B)
Please provide detail to any question you answered 'Other' to and/or provide any further information about your request.
Has Institutional Effectiveness provided similar data/reports to you previously?
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