COVID-19 Information

Faculty Evaluation Data Release Form

Entries marked with * are required.

Faculty Member being Requested*:

Reason for Request*:

If known, which course(s) should the report reflect:

If known, which academic year(s) and duration should the report reflect:

Your Name*:

Your Title/Role*:

Your Department*:

Who are you requesting the data on behalf of*:

Name of requestor:

Title of requestor:

Contact Email Address*:

Timeframe for report delivery*:

mm/dd/yyyy

User Acceptance*: