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Online Data Request Form

Full Name	*
Job Title
Dept./Organization	*
From	* Insert Your E-mail Address Above
External Requests Only: Please indicate if there is a School District sponsor for your Research	*
Subject	Online Data Request
For what year(s) is the data needed?	*
When is the information needed?	* Enter in the form - YYYY-MM-DD
	IF THIS REQUEST IS RELATED TO AN EXTERNAL RESEARCH PROPOSAL, PLEASE CONTACT THE OFFICE OF RESEARCH AND EVALUATION
Has this (or similar) data been previously provided?	Yes No
If yes, when was the date?	Enter in the form - YYYY-MM-DD
By whom?
Details	* Indicate exactly what is being requested - demographic information, test results, score analysis, report card marks. data for one or more years, etc.
Why are you requesting this information?	* How will the data be used and how will the results be distributed?
Identify persons expected to have access to the data ("Authorized Recipients")	*

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