Name:
     

Email:
     

Phone:
     

Campus/Location:
     ECC-Torrance Compton Center Inglewood Center BTC Other

Office Location: (Room #, Building)
     

Unit:
     Academic Affairs Administrative Services Human Resources President's Office Provost's Office Student and Community Advancement

Division:
     NA Behavioral & Social Sciences Business Community Advancement Counseling Enrollment Services Fine Arts Health Sciences & Athletics Humanities Industry & Technology Learning Resources Mathmatical Sciences Natural Sciences

Department:
     

Supervisor Name:
     

Supervisor Email:
     

Date Needed: (MM/DD/YYYY) (Please do not use ASAP) For standard requests, please allow 3 - 4 weeks for delivery.

     

Data Type:
      Demographic information
      Enrollment counts
      Student outcomes
      Survey design and creation
      Survey scanning
      Other  

Time Frame (specify terms, etc):
     

Describe your request.  What question(s) are you trying to answer?
“If you are requesting a survey, indicate the number of copies needed.”

     

If your request is similar to work that was done previously, indicate for whom and the approximate date the work was done.
     

Main Purpose (select one that most closely matches the reason for your request):
      Grant application or report
      Program Review
      Other curriculum/program/service assessment
      Prerequisite/corequisite/test validation study
      State or federal reporting
      Report to an outside agency
      Strategic planning
      Student learning outcomes creation/assessment
      Support for funding request
      Other:  

With whom will the data be shared?
     

How do you plan to use this information to improve the college?
     

ECC Strategic Initiatives related to this request (check all that apply):
      1. Offer excellent educational and student support services:
         1a) Enhance college services to support student learning using a variety of instructional delivery methods and services.
         1b) Maximize growth opportunities and strengthen programs and services to enhance student success.
         1c) Strengthen partnerships with schools, colleges and universities, businesses and community-based organizations to provide workforce training and economic development for our community.

      2. Support self-assessment, renewal, and innovation:
         2a) Use student learning outcomes and assessment to continually improve processes, programs and services.
         2b) Use research-based evidence as a foundation for effective planning, budgeting and evaluation processes.

      3. Modernize the infrastructure to support quality programs and services:
         3a) Use technological advances to improve classroom instruction, services to students and employee productivity.
         3b) Improve facilities to meet the needs of students and the community for the next fifty years.

      A strategic initiative is not applicable to my request.