In order to properly and efficiently handle your request, please complete this form with as much information about your survey as possible. Please include a copy of your survey questions for review when submitting this completed form. Your project will not be started until all documents have been received.

*Every attempt to process your survey within the requested time frame will be made; however, depending on the current volume of requests your start date may need to be altered. We will contact you if this will need to be done.

Contact Us

If you have any questions about Institutional Research, please reach out to Mary Amador

Contact Information

Campus Address
Hoeffner Science & Technology Center 234
Title of Department Leader
Executive Director of Institutional Research
Joseline Kraemer
(570) 422-3906