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Data Request Form
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If your data request is for a research study you must complete the research application process. If your proposal is approved, you may submit an external data request. Information on the research application process can be found at:
Conducting Research in CMS

Please note files will include only CMS data. Linking to external data is the responsibility of the requester. Due to federal and local regulations (i.e., FERPA and CMS policies) regarding student confidentiality, we limit the number of demographic variables that we can share without parental consent in order to keep the data de-identified.

All other data requests must meet the following criteria:

  1. Request is from a CMS Community Partner and/or for purposes that align with the CMS goals and priorities.
  2. Request is from a CMS employee.
  3. Requests must be able to be completed in a reasonable time frame.

If your data request is approved, please allow 45 business days for completion of the data request. Priority will be given to data requests from CMS employees using data for purposes within CMS

 
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First and Last Name *

Title or Position *

Are you employed by CMS? *


Dept/Agency/University/Other *

Email *

Primary Phone *

Secondary Phone


Purpose for which data will be used *

Community Partner Report

(No need to complete other fields)

Update of Previous Data Request

(No need to complete other fields if previous data request number is provided)

Previous data request number

Data for approved Research Proposal

Research Proposal Number

Year(s)

   
Select all that apply.

Reporting Level

Select all that apply.

EOG Test Subject(s)

EOG Test Result Options

EOC Test Subject(s)

EOC Test Result Options

Other Test Results


Other Student Variables

Select all that apply.

School/District Variables

School Name

If requesting data for specific schools, please provide the School Name.

Please provide specific details on
above variables


Parameters for Disaggregation

Disaggregation Details

Please provide specific details on above disaggregation.

Additional information regarding
data request


Additional information such as templates may be emailed to Susie Freije at susanw.freije@cms.k12.nc.us. Please do not send any student or teacher information by email. All student/teacher information must be sent via a secure site. Contact Susie Freije for more information. susanw.freije@cms.k12.nc.us

Do you have any questions
for us?

Is there anything that we should know before starting on your data request?

Has a similar request been
completed previously?

If a similar request has been completed previously, please tell us the file number (e.g., 187_14; 531_15) and name of the person who made the request.
Attachments
 
P.O. Box 30035
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Phone: 980-343-3000
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