Statistical services request form

Please request the data and/or analysis you require on this form.
Required information is denoted by an asterisk (*).
Once your request has been logged, you will be notified of an anticipated completion date by Statistical Services.

STEP 1 - Contact Details
Name: *
E-mail: *
Phone: *
If you wish a copy of this request to be forwarded to an email address, please enter the address(s) here, separate multiple email addresses by a comma:
STEP 2 - Request Details
Please be as specific as possible. Include when you require the data by.
*
STEP 3 - Improving Quality
We can improve the quality of statistical information provided to your section if we better understand the circumstances in which you made the request. Please assist us by responding to the following.

Request initiated by:	Position of this person:

To which group is the information mainly directed?:
University wide	Division
Campus	Department/School
Faculty	Individual
N/A or other

In considering its priority, how IMPORTANT do you consider this request to be?:
High Medium Low

In considering its priority, how URGENT do you consider this request to be?:
High Medium Low
STEP 4 - Submit Request
If you have any queries regarding this form, please contact Scott Brown on 59659.