Name of person requesting information___________________________________________________
Phone number______________________ Email Address____________________________________
Today's date______________________ Previous Work Order Number_________________________
Department or organization represented___________________________________________________

Information requested:
1. Selection criteria: _________________________________________________________________
________________________________________________________________________________
2. Sort order: _____________________________________________________________________
________________________________________________________________________________
3. Output format: ___________________________________________________________________
________________________________________________________________________________
Semester of information requested_______________________________

Output desired:
Lists: ___ Y ___ N How many copies? ___________________________
Labels: ___ Y ___ N How many sets? ___________________________

Address preference in rank order: ___ Local ___ Permanent

Purpose of printout in detail ____________________________________________________________________________________

Check one:
___Charge to MTSU account number ____________________
___Requestor will pay MTSU directly. (Requestor should see the secretary in Information Technology Division, Cope Administration Building, Room 003, for bill.)

Distribution:

Contact when information is available. Phone __________ E-mail _______________________

__________________________________________________ Date ______________
Signature of requestor (Accepting responsibility for payment and proper use of information)

__________________________________________________ Date ______________
Approval: Dean, department chair, organization faculty sponsor, etc.

__________________________________________________ Date ______________
Approval: Enrollment Technical Systems

Note: Please check with your department head before requesting information to determine whether or not the information is on file in his/her office. Much information can be obtained from the semester enrollment statistical reports.
E-mail Notice: Mass campus e-mail distribution is only allowed by authorized campus offices.