Survey Request Form
Please complete and submit this form to request a web-based survey creation account. Forward a copy of the survey to be implemented and any associated materials that are available (letter soliciting participation, etc.) to the Dean's office. IRB approval, if necessary, should be obtained before the account is requested. When approved, COBTech will contact you with account details. Contact Beth Towell, Associated Dean for Undergraduate Academic Affairs, at 753-1246 with questions.
If you prefer to hand-deliver the request form please print and return to the Dean's office along with the appropriate materials.