Access to Student Data Request Form

Contact Information

Requester Name*

First Last

NetID*

Department Name*

Phone Number*

Email Address*

Manager (Approver) Email Address*

Which data families are you requesting access to?*

Purpose of Data Use*

Check all that apply

I will be looking at/using content from the following schools:*

Additional Comments on what I'm using the data for:

I agree to the following:*

The access or use of any University of Rochester data for one's own personal gain or profit, for the personal gain or profit of others, or to satisfy one's own personal curiosity or that of others is EXPRESSLY FORBIDDEN. Also forbidden is the disclosure or distribution of University of Rochester data in any medium, except as required by this employee's job responsibilities. Violations of these guidelines will be dealt with seriously, up to and possibly including employment termination.