Request for New Automated Pima Report

Please complete the following form for all new automated Pima report requests from Planning and Institutional Research (PIR). PIR will contact you to discuss the details of this project within two business days.

This form is intended for internal use only.

1. Requester Information:

Name:
Title:
Work Phone:
E-Mail Address:
Department/Division/Office:
Campus/Site:
Supervisors Name:

2. Supervisors approval obtained:

No
Yes, by:

3. Type of information being requested: (select as many as may be appropriate)

Admissions
Campus/Program
Demographics
Enrollment
Full-time Student Equivalent (FTSE)
Full-Time Faculty Equivalent (FTFE)
Graduate/Completer
Grants
Institutional Effectiveness/Accreditation
Placement Testing
Program Review
Retention and Persistence
Student Learning Outcomes (assessment)
Other (please define)

4. Please give a general description of the report desired:

5. How does this report relate to the College Plan or our Institutional goals? (Please provide a detailed reference to which initiative, strategy and/or goal this applies.)

6. Is this a Federally or State mandated request?

No
If Yes, please state how it applies.

7. Is this a PCC mandated Request?

No
If Yes, please state how it applies.

8. Please describe the desired report format?

9. Is there an example of a current or past report that is similar in nature and/or format?

10. Any associated deadlines?

11. Requested completion date?