IndividualDataRequest

Section One: Requestor Information

Organization or Eligible Entity Name

Primary Contact Name

Primary Contact Job Title

Primary Contact Email

Primary Contact Phone Number

Secondary Contact Name

Secondary Contact Job Title

Secondary Contact Email

Secondary Contact Phone Number

Comments

Section Two: Project Information

What is the title of the proposed project?

Justify your request for individual level data. Explain why this project could not be completed by using aggregate-level data without PII.

When do you need this data?

Purpose, Scope, and Duration

Completely describe the purpose and scope of the project.

Identify key research or policy questions to be addressed.

How will results from this study be used to impact students and the workforce in Kentucky?

Has this study been reviewed by an Internal Review Board (IRB)? Explain.

Section Three: Request Information

KYSTATS Request for Individual Level Data