Fill - Free fillable Tennessee Tech University Internal Data Request Application (Tennessee Technological University) PDF form

1

Tennessee Tech University

Internal Data Request Application

DATA REQUESTOR INFORMATION

Today’sdate:Datebywhichyouneeddata:

Name:     Division/Department:

Title:Email:Phone:

DATA REQUEST INFORMATION

AreyouaSchoolOfficial,withalegitimateeducationalinterest,completingataskforTTU?

Yes No

Howwillyouusethedatathatyoureceivefromouroffice?



Whowillhaveaccesstothedatafile?



Howwillyoukeepthedatasecureandhowwillyoudestroythedatawhenfinished?



DATA REQUESTS SPECIFICS

Whattypeofdatawillyouneed?Includethe(1)term(s),the(2)studentpopulationyouwanttouse(Alljuniorsandseniorsofa

certainmajor,orstudentswitha3.0GPAorbetter,etc.),and(3)theinformationyouneedonyourreport(Name,T#,email,

major,GPA,etc.,)



Term(s):



StudentPo

pul

ation:



ReportInformation:



Clear Form

More Forms

2

ADDITIONAL INFORMATION

Ifyouwouldliketoaddadditionalinformationtobeusedinmakingdecisions,pleaseusethespacebelow.



EXPEDITED REQUEST

Pleasenotethatdatarequeststypicallytake3‐5businessdaystoprocess.Ifyouneedanexpeditedrequest,pleasecompletethesectionbelow:

Arethereanyspecialcircumstancesthatnecessitatemakingthisanexpeditedrequest?

zĞƐ 

EŽ



Ifyes,pleaseexplainwhythisdatarequestneedstobeexpedited?

DATA DELIVERY

Howwouldyoulikethedatadelivered?

EncryptedEmailPick‐Up/Hand‐Delivery  Mailed



FERPA

”UnderFERPA,schoolofficialsmayobtainaccesstoonlythoseeducationrecordsinwhichtheyhavelegitimateeducational

interests.“Legitimateeducationalinterest”isdefinedasaninterestwhichresultsfromthedutiesofficiallyassignedtoaschool

officialandwhicharerelatedtosuchaschoolofficial’sresponsibilityforfacilitatingthestuden

t’sde

velopment.”Inotherwords,

astaffmembershouldonlyaccessthosestudenteducationrecordsthatareneededtoperformhisorherjobasanofficialofthe

university.AnyotheraccessisaviolationofFERPA.



Ifyourdatarequestisapproved,doyouunderstandyourobligationunderFERPA,tokeepallstudentdatarecordssecureandonly

accessdatathatyouhavearighttoaccessasaSchoolOfficialwithaLegitimateEducationalInterest?





zĞƐ 

EŽ



SIGNATURE___________________________________________________ DATE___________________________________

OfficeUseOnly:



RequestDenied RequestApproved

COMMENTS______________________________________________________________________________________________

________________________________________________________________________________________________________

RegistrarSignature____________________________________________________

Datethedatawassent__________________________

Registrar’sOfficeProcessor______________________________________________

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Tennessee Tech University Internal Data Request Application (Tennessee Technological University)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Tennessee Tech University Internal Data Request Application (Tennessee Technological University) Form

Related forms

Fillable Tennessee Tech University Internal Data Request Application (Tennessee Technological University)

Fill Online, Printable, Fillable, Blank Tennessee Tech University Internal Data Request Application (Tennessee Technological University) Form

Related forms

First 20 documents completely FREE!