ࡱ> 2417 bjbjUU " 7|7|0l / ; | @       $ 9 Q "/ 9 w 7 w w w 8 w  w w    Ύ p  0  w  w Information Request Form Office of Assessment and Institutional Research Phone: (985) 448-4006 ( Fax: (985) 448-4308 Name: ___________________________ FORMTEXT  Department: ______________________ Phone: (_____)_____-_______ Fax: (_____)_____-_______ NSU Email Prefix:   FORMTEXT       _________________ Personal Email: ____________________ Date Requested: _____/_____/_____ **Please allow ample time for completion** Date Due: _____/_____/_____ Is this a regular request?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If so, how often?  FORMCHECKBOX  BOT  FORMCHECKBOX  EOT  FORMCHECKBOX  Annually  FORMCHECKBOX  Semester Information needed for: ______________________________________________________________ (Ex. Accreditation, Survey, Annual Report, etc.) **Please include copies of any forms and instructions related to request. How would you like your request returned?  FORMCHECKBOX  Inter-office Mail  FORMCHECKBOX  Email  FORMCHECKBOX Fax Data requested from: ____________________________ Semester(s) ____________________________ Year(s)  FORMCHECKBOX  Academic  FORMCHECKBOX  Calendar Special Instructions: ______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Request:   FORMTEXT       _______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________   FORMTEXT        Office Use Only Request ID: _______________ Work Completed By: ____________________________ Date Completed: ___/___/____ cd *+    $%345?@NOP_`nopV jUCJjUj*UjUjBUjUj2UjUmHnHujU jUj>*U>* j>*U j;I~ 46&&#$+Dh/I&#$+Dh/&I&#$+Dh/y&#$+Dh/&y&#$+Dh/ &#$+Dh/& &#$+Dh/$a$"$\{ W X Y  |m&%!&#$+Dh/&)#!&#$+Dh/0&!&#$$d%d&d'd+D/NOPQ&!&#$+D/&!!&#$+Dh/&Q!&#$+Dh/&#$+Dh/#$  # ? N O ] ^ _ p q  j r t u v w     * *5\jrUjCJUmHnHujUmHnHujU>*j6UjUCJj"UjU jU7 J " j @jdh&i.!&#$+D/&1*!&#$+Dh/&%!&#$+Dh/ 1h/ =!"#$%DText1 ExitText1DhiddenforText9EntryhiddenforText9DeCheck1 ExitCheck1DeCheck2 ExitCheck2tDeCheck3tDeCheck4tDeCheck5tDeCheck6DeCheck7 ExitCheck7DeCheck8 ExitCheck8DeCheck9 ExitCheck9DeCheck10 ExitCheck10DeCheck11 ExitCheck11DHiddenforText21EntryhiddenforText21DhiddenforText1 i8@8 NormalCJ_HaJmH sH tH <A@< Default Paragraph Font(>@( Title$a$CJ DB@D Body Text& &#$+Dh/CJP@ Body Text 2`!&#$$d%d&d'd+D/NOPQ I~ FGl"4 KvN?0d0@0@0@00@0@000@000@000@0@00000@0@0@0@000000000000000@000     +13 5EP`k{z&,.FTFTG G G G G G G G G G G FTFT8@(  T  C + B S  ?6D% tText1hiddenforText9Check1Check2Check3Check4Check5Check6Check7Check8Check9Check10Check11HiddenforText21hiddenforText1  6Ql{ 2Fa|-0[c!#4af;Gjr033333333IR-LBDCD:\My Documents\IR Web\Request\Information Request Form for PDF.doc@$XL,,@@  @UnknownGz Times New Roman5Symbol3& z Arial?Wingdings 2"hee 7K!20d`S 2?D:\My Documents\IR Web\Request\AIR Information Request Form.dotInformation Request FormIR-LBDIR-LBDOh+'0  0< X d p |Information Request Form0nfoIR-LBDtR-LR-LAIR Information Request FormMiIR-LBDo1-LMicrosoft Word 9.0u@V@@|@f ՜.+,0 hp|  NSUK7` Information Request Form Title  "#$%&'(*+,-./03Root Entry FpU5Data 1TableWordDocument" SummaryInformation(!DocumentSummaryInformation8)CompObjjObjectPoolpUpU  FMicrosoft Word Document MSWordDocWord.Document.89q