Date of your request : -- mm/dd/yy

Choose one of the following options: (required) 
Need within one month Need asap - within one week Not immediate, but before the end of the semester No specific need - just curious about results

If you choose "Need asap,"  you will need to make your request in person.  You may print this form and bring it to Linda Black for determination as to whether the request may be completed within the time frame desired.


What is the question you need answered?  Please provide a thorough description of the data you need.
When you have completed your form, please print a copy for your records before you submit your request.