Office of Institutional Research Data Request Form

For Le Moyne College Staff, Faculty, and Students

To enhance communication between the Office of Institutional Research and the Le Moyne College community, the Office of Institutional Research provides the following data request for your use.

Name of Person Submitting Request:
Email Address:
Date:
Title:
Department/Office:
Status	Select Status Le Moyne Facullty Le Moyne Staff Le Moyne Student Le Moyne Alumni
In the text area, “Description of Request,” please provide as much detail as possible. As a general rule, give us all the information and explanation we will need to interpret your request accurately.
Description of Request
How will requested data be used?
Explain How Data Will Be Used
If not affiliated with Le Moyne College, please describe the purpose of your request, and provide additional contact information.