Request Form (Armstrong/Liberty/Statesboro)

Please view our web links (i.e., Enrollment, Fact Book, Graduation Rates, Retention Rates, Organization Charts, Common Data Set, etc.) to determine if the historical information you are seeking may already exist.  Current semester data should be requested from the Registrar Office. The form below is provided for data request(s) not found within our web links.

Name *

Title *

Georgia Southern Department/Office or other (agency) *

Campus P. O. Box, Physical location or other (address) *

Phone (xxx-xxx-xxxx) *

EMAIL address *

Want-by-date (mm/dd/yyyy) *

Need-by-date (mm/dd/yyyy) *

Institutional Review Board (IRB) action is needed: *
IRB contact: 912-478-5465
http://research.georgiasouthern.edu/researchintegrity/institutional-review-board/

YesNoNot aware

Request Detail: Use the box below to explain in detail your project and needs. Please include:

1-project/report objective(s),
2-specific data elements/items/definitions/semester(s)-year(s) that are needed,
3-why these data are needed and how will be used.
4-what campus(s) (i.e., Armstrong, Liberty, Statesboro) data are needed.
5-mail or upload any supporting documents (i.e., report instructions/definitions, email/letter request for information) that may provide insight.

Upload supporting document(s):
File uploads cannot exceed 2MB each. Email other documents to iroffice@georgiasouthern.edu.

1st document:
2nd document:

Your request will be evaluated along with ongoing projects. After review, a proposed date for completion of your project will be identified and provided to you. If you have any questions prior to our follow up, please contact us 912-478-5218 or iroffice@georgiasouthern.edu.

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