Ivy Tech Community College of Indiana

Registrar & Records Office: • Bio/Demographics • Career Development Certificates • Credit Hours/Load • Dean's List • Deferment Requests • Dropping/Adding Courses • Enrollment Status • General Refund Policy • GPA • Grade Appeals • Grading • Graduation • Improving a Grade • Privacy Act of 1974 • STARS & Online Student Services • Transcripts • Transfer Credit • Voter Registration

SIS Report Request Form

Due to the recent increase in report requests, information coming from standard reports can take a minimum of 3 business days and specialized reports can take a minimum of 10 business days.

Need quicker assistance?

Please, check out the college InfoNet website's "reports" section for instantaneous downloads.

Contact Information:

Date
Requestor		(e.g. John Doe)
Area/Department		(e.g. Student Affairs)
Phone Ext.		(e.g. 5555)
E-Mail		(e.g. jdoe@ivytech.edu)

Report Criteria:

Which term(s) of data are requested? (Nine terms of available data can be produced at the Region. Contact Registrar for procedures to obtain additional data.)
Provide in detail student data being requested.

Usage Information:

Which of the following types of activity will this data support?

	Grant request writing		Program Eval./Assessment
	Benchmarking Progress on Strategic Objectives		Operations Research
	Workforce/Economic Dev.		Internal Survey Design/Analysis
	Program Accreditation		Marketing/Comm. Planning
	Strategic Planning		Dissertation Research

Other

Which general categories of information are being requested?

Enrollment (headcount, FTE’s)
Student Data in Aggregate Format
Student Confidential Information (personally identifiable information)
Course Offerings

Other

Wider Audience: Who, besides the requestor/requesting organization, would receive or have access to this information?

General Public/Press
Other

In your view, should this information be posted in the regional Census report?

Yes
No
Don't Know

Please add any additional description needed to indicate how information will be used.

Changing Lives

Richmond Campus
2357 Chester Blvd.
Richmond, IN 47374
765-966-2656
800-659-4562
FAX 765-962-8741

Connersville Campus
717 West 21st Street
Connersville, IN 47331
765-825-9394
FAX 765-825-4516