Annual Survey Data File

Custom Reporting Submission Form for Annual Survey Data File

First Name*
Last Name*
Title
Organization
Address 1*
Address 2
City*
State*
Zipcode*
Email*
Enter Email Confirm Email
Phone*
Survey Name*
Available to Participating Institutions only. Outside researchers please refer to HERI's Data Access Policy.
Institution*
Survey Year*
Data File Format*
CERTIFICATION OF RESEARCH USE ** HERI cannot deliver your data file unless the Certication of Research Use is completely filled out. ** The Higher Education Research Institute provides data files to assist institutional research activities. By receiving this data file, I agree that these data will be used only for statistical analyses and reporting of aggregated information, and not for the investigation of specific individuals. In signing this agreement, I give assurance that use of these data will conform to widely accepted standards of practice and legal restrictions that are intended to protect the confidentiality of research subjects. I also give assurance that no survey respondent will be sanctioned based on any answer provided in the Survey Instrument. I understand that typing my name and title in the following fields constitutes my electronic signature in agreement to the conditions above.
Electronic Signature of Certifying Official:*
Title:*