Faculty Data Request

Requestor Information

* Note: Enter Requestor's Name.
* Note: Enter Department's Name.
Campus Email Address:
* Note: Enter cofc Email.
* 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:

Spring 2020
Fall 2020
Spring 2021

Services (Choose Applicable Labs)

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

Visit Information (If Applicable)

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:  Richa Pokhrel