Neumann University

Date Request Submitted: * MM / DD / YYYY
Request Needed By: * MM / DD / YYYY
Name: * First Last
Job Title: *
Department/Office: *
Phone Number: * ### - ### - ####
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What type of data are you requesting? *
Alumni - Undergraduate Alumni - Graduate Student Enrollment - Undergraduate Student Enrollment - Graduate Degrees Conferred - Undergraduate Degrees Conferred - Graduate Graduation/Retention Rates - Undergraduate Graduation/Retention Rates - Graduate Admissions Course/Curriculum Information Faculty Data
Other - Please Specify
Please specify which term(s) you are requesting data for: *

(e.g. Fall 2010; Spring 2011; 2010-2011 Academic year; etc)
Does your request pertain to a certain major? *
No Yes - which major/program?
Please describe in detail the data that you need and the purpose of the request.

(e.g. program review, accreditation, course/curriculum changes, grant proposal, etc.)
Is this data for internal use, external use (e.g. publication or presentation), or both? *
Internal use External Use Both
Where are you submitting or presenting your research? *
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