Ad Hoc Request for Student Data

The Student and Course Data Access Policy can be found in the Campus Administrative Manual at
http://cam.illinois.edu/iii/iii-15.htm and the Student Code, Article 3 Part 6.

User Account Information :
Click HERE if you have an Ad Hoc Request account to view previously submitted requests or create new request.

For University Faculty/Staff only, CHECK if you want to request an Ad Hoc Request Application
Specify the following account information: 
**  
                                                                         your account will be available in 1 week

** = Required Field

Requestor Information:
**  
**    

There may be a charge** assessed for fulfilling the request.
**Effective 1/1/2009, data requests will be billed at the following rates
:
   $150: for a newly created report
   $ 25: for a standard rerun an existing report
   $ 50:

surcharge for requests requiring less than two weeks turnarround, provided the Office of the Registrar is able to meet the Requested Completion Date. Willingness to pay the surcharge does not guarantee expedited processing.

Account Information:
Insufficient account information will delay or discontinue the fulfillment of this request.

C-FOAPAL:               
   Campus       Fund                             Organization                Account(optional)       Program
   1digit           6digits                           6digits                          6digits                            6digits
Bill Charge To:
**  
**    
**  

Request Information:
Have we provide this report before?:
**    
(brief description up to 50 characters)
Responsible party for requested data:
For Additional Information Contact:


Output format required:

**    
(normal processing takes 2-6 weeks)
  pick the date from the calendar
**  
  pick the date from the calendar

Conditions for Use of Student Information:
   1:
Non-academic units must provide the Office of the Registrar with a sample of materials to be sent to student population.
   2:

Student data may NOT be reproduced, either electronically or manually, without the express written consent of the Office of Registrar or the Registrar's designated proxy.
   3:

Individual student data may NOT be retained, archived, or electronically stored. Data that indentifies a specific student or students must be destroyed by the Terminal Date listed above, or within 30 calendar days of receiving the requested data from the Office of the Registrar.

I acknowledge that the Office of the Registrar is not responsible for any subsequent dissemination of data. In accepting the data as requested above, I agree to comply with all UIUC regulations governing access and release of student information as described in: the Student Code and the Campus Administrative Manual. If I use this information for research, I will comply with policies of the Institutional Review Board, as outlined in the Handbook for Investigators: For the Protection of Human Subjects in Research.

Submit your request By clicking the Submit Button

   



CONTACTS INFORMATION:
Contact Information Contact NameEmailPhone
Question about requesting student data should be directed to:Rod Hoewingrhoewing@illinois.edu(217) 244 6170
Question about the process for requesting undergraduate application data should be directed to:Thomas Skottenetskotten@illinois.edu(217) 265 5392
Question about the process for requesting graduate and professional applicant data should be directed to:Beth Kiblerbkibler@illinois.edu(217) 244 4637