CofC Logo

Faculty Data Request

Requestor Information

Requestor:
* Note: Enter Requestor's Name.
Department:
* Note: Enter Department's Name.
Campus Email Address:
* Note: Enter cofc Email.
Phone:
* Note: Enter your phone number.
Date Submitted:
Required Completion Date:
* Note: Enter completion date.

* Note: Enter the purpose of the data.

Course Information (If Applicable)

Course Name:
Course Section Numbers:
(Please separate section numbers by commas.)

Report Information

Academic Term:

Fall 2016
Summer 2016
Spring 2017

Services (Choose Applicable Labs)

All Services
Accounting Lab
Foreign Languages Tutoring Lab
Individual Tutoring
Math Lab
Science Tutoring Lab
Speaking Lab
Writing Lab
Supplemental Instruction
Study Strategies

Visit Information (If Applicable)

Course
Reason For Visit
Total Visit Time
Total Number of Visits
Dates of Visits
Specific Information Requested:

How will you use this data?

*If providing own data set indicate here: Own Data Set & Email data set to:  Kaitlyn Lamontagne