Online Data Request Form

(Note: Fields marked with * are mandatory)
DEMOGRAPHICS:
Requested By *:  
College/Company:
Department:
Phone(xxx-xxx-xxxx):  
Email *:    
Date Submitted:*
Date Report Needed:*
REQUEST DETAILS:
Request Title:*  
Have you contacted IR Staff regarding this request? If so, please type name of IR Contact:*  
Attachments:  
Request Details *:
(Please provide detailed information for data needed.) 		 
                                                        

If you need additional information not found on our website
please contact us via email at IRIM@ttu.edu or call at (806) 742-2166.


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