{"id":945,"date":"2022-09-22T14:38:06","date_gmt":"2022-09-22T21:38:06","guid":{"rendered":"https:\/\/www.palomar.edu\/studentservices\/?page_id=945"},"modified":"2025-09-25T10:45:02","modified_gmt":"2025-09-25T17:45:02","slug":"student-services-data-request-form","status":"publish","type":"page","link":"https:\/\/www.palomar.edu\/studentservices\/student-services-data-request-form\/","title":{"rendered":"Student Data Request Form"},"content":{"rendered":"\n<p>To support your data needs and secure proper approval for student privacy, please submit the form below, which will initiate our collaboration with our Student Services Team. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>This is not a public record request form. <a href=\"https:\/\/www.palomar.edu\/pao\/public-records-request-2\/\">View Public Record Request form information<\/a>. <\/p>\n\n\n\n<p><a href=\"https:\/\/www.palomar.edu\/irp\/research-request-form\">Data Analysis<\/a> from the Office of Institutional Research. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is FERPA-protected data?<\/h2>\n\n\n\n<p>FERPA-protected data is any record that can be linked to a specific student, whether by name, by social security number, by student ID, or through any other kind of personally identifiable information (e.g., transcripts, financial records, assignments, etc.) is covered.<\/p>\n\n\n\n<p>These records include but are not limited to grades, transcripts, class lists, student course schedules, health records (at the K-12 level), student financial information (at the postsecondary level), and student discipline files.<\/p>\n\n\n\n<p>FERPA defines the term personally identifiable information (PII) to include&nbsp;<strong>direct identifiers (such as a student&#8217;s or other family member&#8217;s name) and indirect identifiers (such as a student&#8217;s date of birth, place of birth, or mother&#8217;s maiden name)<\/strong>.  For additional training and understanding of FERPA visit the 3PD Portal to enroll in the 15-minute FERPA: Confidentiality of Records course. <\/p>\n\n\n\n<p>*For these reasons, each data request will be evaluated for FERPA compliance prior to data being provided.<\/p>\n\n\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Data Request Form<\/h2>\n                            <p class='gform_description'>This form will capture data requests from Student Services BSA&#8217;s.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/studentservices\/wp-json\/wp\/v2\/pages\/945' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_25\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Step-by-Step<\/h3><div class='gsection_description' id='gfield_description_2_25'><ol>\n  <li>Fill out this form.<\/li>\n  <li>The Data Request will be reviewed and approved by the Registrar.<\/li> \n  <li>Confirm timeline of 10 business days to secure approval, data validation, and final report.<\/li>\n  <li>Intake Meeting scheduled with Business Systems Analyst (BSA) as needed.<\/li>\n<\/ol><\/div><\/div><fieldset id=\"field_2_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Requestor:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_5'>\n                            \n                            <span id='input_2_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_2_5_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                    <label for='input_2_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_2_5_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                    <label for='input_2_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>Employee ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_2_36' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>Email of Requestor (must be a @palomar.edu)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_2_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Date of Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_2_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_2_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_7' class='gform_hidden' value='https:\/\/www.palomar.edu\/studentservices\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_43\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_43'>When do you need this data by?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_43' id='input_2_43' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_2_43_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_43_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_43' class='gform_hidden' value='https:\/\/www.palomar.edu\/studentservices\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_23'>Project\/Program Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_2_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you collected this data previously?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_28'>\n\t\t\t<div class='gchoice gchoice_2_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Yes'  id='choice_2_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_0' id='label_2_28_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='No'  id='choice_2_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_1' id='label_2_28_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will this data request be recurring?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_29'>\n\t\t\t<div class='gchoice gchoice_2_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Yes'  id='choice_2_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_0' id='label_2_29_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='No'  id='choice_2_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_26\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >If Yes, from whom?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_26'>\n                            \n                            <span id='input_2_26_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_26.3' id='input_2_26_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_26_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_26_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_26.6' id='input_2_26_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_26_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_2_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >How frequently?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_30'>\n\t\t\t<div class='gchoice gchoice_2_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='1 Time'  id='choice_2_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_0' id='label_2_30_0' class='gform-field-label gform-field-label--type-inline'>1 Time<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Each Semester'  id='choice_2_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_1' id='label_2_30_1' class='gform-field-label gform-field-label--type-inline'>Each Semester<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Annually'  id='choice_2_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_2' id='label_2_30_2' class='gform-field-label gform-field-label--type-inline'>Annually<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='gf_other_choice'  id='choice_2_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_3' id='label_2_30_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_2_30_other' class='gchoice_other_control' name='input_30_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'>What question are you attempting to answer?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_2_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What specific data elements do you want to include in your data pull?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_40'><div class='gchoice gchoice_2_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Student ID'  id='choice_2_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_1' id='label_2_40_1' class='gform-field-label gform-field-label--type-inline'>Student ID<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Name'  id='choice_2_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_2' id='label_2_40_2' class='gform-field-label gform-field-label--type-inline'>Name<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.3' type='checkbox'  value='Palomar Email'  id='choice_2_40_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_3' id='label_2_40_3' class='gform-field-label gform-field-label--type-inline'>Palomar Email<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.4' type='checkbox'  value='Gender'  id='choice_2_40_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_4' id='label_2_40_4' class='gform-field-label gform-field-label--type-inline'>Gender<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.5' type='checkbox'  value='Phone Number'  id='choice_2_40_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_5' id='label_2_40_5' class='gform-field-label gform-field-label--type-inline'>Phone Number<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.6' type='checkbox'  value='Age\/Date of Birth'  id='choice_2_40_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_6' id='label_2_40_6' class='gform-field-label gform-field-label--type-inline'>Age\/Date of Birth<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.7' type='checkbox'  value='Student Group: You must provide the name of the student group in \u201cDefinitions and assumptions\u201d section below.'  id='choice_2_40_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_7' id='label_2_40_7' class='gform-field-label gform-field-label--type-inline'>Student Group: You must provide the name of the student group in \u201cDefinitions and assumptions\u201d section below.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.8' type='checkbox'  value='Service Indicator: Which one? provide this info below.'  id='choice_2_40_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_8' id='label_2_40_8' class='gform-field-label gform-field-label--type-inline'>Service Indicator: Which one? provide this info below.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.9' type='checkbox'  value='Enrollment Status'  id='choice_2_40_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_9' id='label_2_40_9' class='gform-field-label gform-field-label--type-inline'>Enrollment Status<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.11' type='checkbox'  value='Class Name'  id='choice_2_40_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_11' id='label_2_40_11' class='gform-field-label gform-field-label--type-inline'>Class Name<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.12' type='checkbox'  value='Class Number'  id='choice_2_40_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_12' id='label_2_40_12' class='gform-field-label gform-field-label--type-inline'>Class Number<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.13' type='checkbox'  value='Academic Plan (Major on File)'  id='choice_2_40_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_13' id='label_2_40_13' class='gform-field-label gform-field-label--type-inline'>Academic Plan (Major on File)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.14' type='checkbox'  value='Ethnicity'  id='choice_2_40_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_14' id='label_2_40_14' class='gform-field-label gform-field-label--type-inline'>Ethnicity<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.15' type='checkbox'  value='GPA'  id='choice_2_40_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_15' id='label_2_40_15' class='gform-field-label gform-field-label--type-inline'>GPA<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.16' type='checkbox'  value='Academic Standing'  id='choice_2_40_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_16' id='label_2_40_16' class='gform-field-label gform-field-label--type-inline'>Academic Standing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_40_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.17' type='checkbox'  value='Other'  id='choice_2_40_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_40_17' id='label_2_40_17' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>Any additional data elements you are looking to collect?<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_2_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Term for requested data:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_39'>\n\t\t\t<div class='gchoice gchoice_2_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Current Term'  id='choice_2_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_39_0' id='label_2_39_0' class='gform-field-label gform-field-label--type-inline'>Current Term<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Last Term'  id='choice_2_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_39_1' id='label_2_39_1' class='gform-field-label gform-field-label--type-inline'>Last Term<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='gf_other_choice'  id='choice_2_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_39_2' id='label_2_39_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_2_39_other' class='gchoice_other_control' name='input_39_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Data Format<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_41'>\n\t\t\t<div class='gchoice gchoice_2_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Excel'  id='choice_2_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_41_0' id='label_2_41_0' class='gform-field-label gform-field-label--type-inline'>Excel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='PDF'  id='choice_2_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_41_1' id='label_2_41_1' class='gform-field-label gform-field-label--type-inline'>PDF<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_41_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Word'  id='choice_2_41_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_41_2' id='label_2_41_2' class='gform-field-label gform-field-label--type-inline'>Word<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_41_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='CSV'  id='choice_2_41_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_41_3' id='label_2_41_3' class='gform-field-label gform-field-label--type-inline'>CSV<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_41_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='gf_other_choice'  id='choice_2_41_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_41_4' id='label_2_41_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_2_41_other' class='gchoice_other_control' name='input_41_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will this data be provided to anyone outside of Palomar College Employees?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_38'>\n\t\t\t<div class='gchoice gchoice_2_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Yes'  id='choice_2_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_38_0' id='label_2_38_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='No'  id='choice_2_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_38_1' id='label_2_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>What will you be doing with the data?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_2_32' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_32\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_32'>Is this for program management, outreach, recruiting, data clean-up, etc?<\/div><\/div><div id=\"field_2_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_31'>What definitions and assumptions you are using?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_2_31' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_31\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_31'>Please describe the terms and definitions you are using: (Example: Current Student = actively enrolled this term? Has a CCCApply application on record? etc)<\/div><\/div><div id=\"field_2_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_19'>Where in Peoplesoft do you see your data? What record, query, page, etc.?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_2_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like Student Services to send a communication to the desired audience on your behalf?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_42'>\n\t\t\t<div class='gchoice gchoice_2_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Yes'  id='choice_2_42_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_42\"   \/>\n\t\t\t\t\t<label for='choice_2_42_0' id='label_2_42_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='No'  id='choice_2_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_42_1' id='label_2_42_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_42'>If yes, please provide the content of that communication in an attached (Supporting Documentation)  document that includes 1) Subject of communication, 2) Body of the communication, 3) Point of contact for reply to the communication. <\/div><\/fieldset><div id=\"field_2_33\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'>Supporting Documentation<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='51200000' \/><input name='input_33' id='input_2_33' type='file' class='large' aria-describedby=\"gfield_upload_rules_2_33 gfield_description_2_33\" onchange='javascript:gformValidateFileSize( this, 51200000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_33'>Max. file size: 49 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_33'><\/div> <\/div><div class='gfield_description' id='gfield_description_2_33'>Upload any supporting documentation you have from prior data requests that will help with this request OR any content you would like to be sent out from Student Services on your behalf.<\/div><\/div><fieldset id=\"field_2_44\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >The Requestor is up to date with their FERPA: (Family Educational Rights and Privacy Act)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_44'><div class='gchoice gchoice_2_44_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.1' type='checkbox'  value='Yes'  id='choice_2_44_1'   aria-describedby=\"gfield_description_2_44\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_2_44_1' id='label_2_44_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_44_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_44.2' type='checkbox'  value='No'  id='choice_2_44_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_44_2' id='label_2_44_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_44'>If the requestor is not current with their employee-required FERPA Training, they will need to contact HR and complete the 3PD Professional Development Training requirements.<\/div><\/fieldset><fieldset id=\"field_2_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand that the average turn around time for a data request is 10 business days based on the required prioritization, leadership approval, and data validation. Additionally, I understand that the data provided from this request is for the one time use &amp; for the sole purposes  described in this request and not to be used, shared, or distributed beyond the approval and scope of this request. 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