Research Assistance Request Form
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1 Research Assistance Request Form Introduction The Santa Monica College (SMC) Research Assistance Request Form is used by the SMC community to request data and research support from the Office of Institutional Research. Submitting this form allows the request to be promptly assigned, scheduled, and monitored. Please complete this form with as much detail as possible. We will not process incomplete requests. The Office of Institutional Research will review the request and you to confirm receipt of your form within 48 business hours of your submitted request. If you need assistance filling out the form, please contact Institutional Research at or x4556. Requestor Information 1. Today's date 2. Name * 3. Department/Program *
2 4. Role at SMC * Faculty Manager/administrator Staff Student Not an SMC employee 5. Have you discussed this research request with your Department Chair or Manager? * Yes No NA (I am a department chair or manager) Please discuss your request with your Department Chair or Manager prior to submitting a research request form. 6. Department chair/manager name * 7. *
3 8. Contact phone number 9. Requested due date: * Please give us as much notice as possible when requesting data. Depending on the nature of the data, some requests take longer than others. In 2013, requests took an average of business days to complete. Purpose of Request and Type of Assistance Needed 10. What is the purpose of your research request? Check all that apply. * Six-year program review Annual program review Student Learning Outcome (SLO) or Unit Outcome (UO) Grant proposal Grant evaluation Departmental planning Support committee or other campus group work Federal, state, or license reporting Promotional or marketing/advertising Other
4 11. In one or two sentences, please describe your research request or research question(s): * 12. Please specify the type of assistance you will need from the Office of Institutional Research: * Data dump (list of students and other variables provided in Excel for own analyses) Develop and/or administer survey tool Develop and/or administer focus group, interview, or other qualitative tool Obtain data about students (demographics) Obtain data about student success and achievement (for example, GPA, course success rates, degree completion) Evaluate effectiveness of program (design comprehensive program evaluation) Request training or meeting with IR staff Other In general, data will only be provided in the aggregate. However, if you request student-level data for your own analyses (data dump), we will not provide student identifier information. All requests must adhere to guidelines set forth by the Family Educational Rights and Privacy Act (FERPA). Description of Request
5 13. Have you made a similar research request in the past? If yes, please describe the request or provide the past project number: Note: The researcher assigned to your previous/related request may or may not be assigned to your current request. 14. Who is your population of interest? Describe the group, population, or cohort you are interested in measuring. * 15. Please specify the academic years, including the terms, of inquiry (for example: fall and spring terms only): *
6 16. How will the research results inform program goals and objectives, program planning and decision-making processes, or specific programmatic changes? * Format of Completed Data/Request 17. Please specify the format of the completed data you would like to be returned to you: Note: Reports with interpretation require additional time for completion. * Data tables and figures (data counts and percentages displayed in tables or graphs) Report with interpretation (full narrative report describing the findings of the study) Presentation of data for departmental/committee meeting Other 18. If data is being requested for an external source (license reporting requirements, grant yearend reporting, etc.), please upload a copy of the data specifications or survey provided by the source. Browse... Choose File No file selected Upload Thank You!
7 Thank you for using the SMC Research Assistance Request Form. You will receive a confirmation within 48 business hours. The Office of Institutional Research may request a meeting with you if your request needs clarification. Provide feedback on the form here: XXXXX
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