EXTERNAL REQUEST FOR RESEARCH ASSISTANCE/INFORMATION
You are invited to visit the college web site on the Internet at www.epcc.edu. The information you need may be found there.
Requestor: ______________________________ Title: ____________________ Organization:____________________
Mailing Address: ______________________________________ Phone: ___________________ Date: _____________
Email Address: _____________________________________________ Fax: _____________________________
Research Requested/Information Needed: (specify report format, if appropriate, and intervals of time for the
information needed--i.e. specific semester(s) or academic year(s); attach additional sheets, if necessary. Please refer to
definitions on next page):
If recurring, indicate month needed (√): ____Jan ____Feb ____Mar ____Apr ____May ____June ____July ____Aug
____Sept ____Oct ____Nov ____Dec If one time only, indicate date needed (Day and Month, not ASAP) ________________
Purpose and Audience for the Information:
THE OFFICE OF INSTITUTIONAL RESEARCH (IR) provides research and information services to support the mission of El Paso Community College.
REQUEST PROCEDURE: It is recommended that the requestor contact IR when a project is first contemplated. This form must be completed to initiate the
process of requesting assistance/information. Time, personnel, and equipment requirements necessitate that each request be addressed on a case-by-case basis.
The Director of Institutional Research, together with the Vice President for Research, Accreditation, & Planning will meet to develop and plan for the completion
of the project. A project team will be formed and a target completion date will be set. The team leader is the primary contact for the request. A copy of this form
will be returned to the requestor with the “For Office Use Only” section completed so the requestor may have immediate feedback on the status of the project.
By completing this form, the requestor understands that information concerning any individual student is to be held in strictest confidence and he/she assures that
procedures are in place for monitoring and protecting confidentiality of student information.
The requestor understands that any unauthorized disclosure of confidential student information is illegal as provided in the Family Education Rights and Privacy
Act of 1974 (FERPA) and in the implementing federal regulations found in 34 CRF Part 99. FERPA is specifically incorporated into the Texas Public Information
Act as an exception to records which are subject to disclosures to the public (Texas Government Code, Chapter 552).
In addition, I understand that any data sets or output reports that the requestor, or his/her representative, may generate with individual student data are confidential.
The requestor will not disclose to any unauthorized person any data sets or reports with individual student data which he/she is given or devise. The requestor
agrees to destroy the data when it is no longer needed for purposes for which this study was conducted; that no confidential student data will leave the agency; and
that no confidential student data will reside on a portable computing device or media such as a laptop computer, personal digital assistant (PDA); key fob drive,
CD disk, thumb drive, etc.
The requestor also understands that failure to observe these restrictions may constitute a ‘Breach of Computer Security’ as defined in the Texas Penal Code,
Chapter 33, Sec. 33.02, B, and that as such as offense constitutes a criminal offense.
Received by: ______________________________________________________ ______________________ Project #: ________________________
(Signature) (Date)
FOR OFFICE USE ONLY
Project Team Leader: Team Leader Phone #:
Reviewed by: ______________________________________________ Director’s Signature: ___________________________________________
Complete this form and return via:
Fax: (915) 831-6751 Phone: (915) 831-6727
U.S. Mail:
Office of Institutional Research
El Paso Community College
P.O. Box 20500
El Paso, Texas 79998
e-mail: institutionalresearch@epcc.edu
