Evaluation, Measurement & Assessment: ASCP Data Request Form
Used to request LMS data and/or Personify data via the EMA department.
Contact Information
Name
*
First Name
Last Name
Email
*
Results will be sent to this address.
Project/Request Information
Grant/MOU Code for Timesheet
*
If the request/project is grant funded, please enter the code from Clockify. If the request/project is not grant funded, please enter Other.
Project Name:
*
Name or title for the data request
Type of request:
*
LMS Data Pull
Compliance (PARS Reporting, ACCME Reporting, etc.)
Grant/MOU (Data collected for various grant and MOU initiatives)
Product Evaluation (QI Product Surveys, etc.)
Other
Please describe the purpose or goals of your request.
*
For what purpose/use is the data being requested?
Date Ranges
Deadline for Data Delivery (at least 5 business days from today):
*
-
Year
-
Month
Day
The date you want to receive your data
Starting date for the data pull:
*
-
Year
-
Month
Day
For example, if you want data for calendar year 2022, enter 2022/01/01.
Ending date for the data pull:
*
-
Year
-
Month
Day
For example, if you want data for calendar year 2022, enter 2022/12/31.
Date range for data pull (start | end):
Please describe how you want the data aggregated/summarized.
*
By course
By series
By family
By product type (e.g., enduring material, live event)
Overall
First demographic record for each user
Other
Data Needed
PRODUCT CODES: For the data that you are requesting, please submit all product codes or product code ranges associated with that data.
*
Data will not be pulled until this information is entered.
ANALYSIS: Please open the drop-down box to select the data that you need. (Check all that apply.)
*
Other Data/Analysis Not Listed Above (Fill In when 20. Other selected in Analysis)
Use this to request data and analysis that is not in the predefined list
Submit
Should be Empty: