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Information For:

Request to Conduct Survey on Stanford Students

Instructions

Data from the University’s student information system is regarded as an institutional resource. Access to student data, including names, email addresses, biographic and demographic data, and academic information must support the academic mission and the operational needs of the University.

Complete all the information requested below. Attach a copy of the survey to this request. Requests must be submitted to the Registrar’s Office by the dates listed below. Requests submitted after those dates will be reviewed at the next applicable date. You will be informed of the Survey Coordinating Committee’s decision approximately three weeks after the submission of the request. IRB approval may be required for surveys of students. Whenever possible, results of the surveys should be made available to the Committee.

Requestor Information
Required Value
Required ValueA Valid Email Address is Required
Required ValueThe Values Do Not Match
Required ValueUse (555) 555-1234 Format

 

Survey Information
Required Value
Please make a selection

Please make a selection


Please describe type.
Please make a selection


Please explain.
Required Value
Required Value
Required Value
(e.g., name, ID number, birth date, gender, class, ethnicity)
Required Value
Required Value
What do you hope to learn from this survey? Why would this survey be important to understanding students at Stanford? How would it contribute to understanding student issues or behavior? How would the survey support the business operation of the University by aiding the development of policy regarding students?
Required Value
If this survey is part of a larger survey being conducted by another university or professional organization, describe your relationship to that university or organization.
Required Value
(explain to whom the results of the survey will be distributed)
Required Value
(in what format will the survey be distributed?)
Required Value
Student information is protected under the Federal Family Rights and Privacy Act (1974) and by University policy. What steps will you take to insure that you are in compliance with your obligations under FERPA?

File Upload Required  

 

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