Project Number ______

Assistance Information Form

Please complete this form and return it to the consulting center for their files.

First Name: ______Last Name: ______Date: ___/____/_____

Address: ______

Address: ______

City: ______State: ______Zip: ______

Home Phone: (____) ______Work Phone: (____) ______

Email Address: ______

I am (please check one) From (please check one)

an undergraduate student / FSU
a graduate student / Non-FSU University
an employee/staff member / Non-University college
a faculty member / other ______
a non-University State employee
other ______

I am interested in getting assistance with (check all that apply)

undergraduate class / program evaluation
graduate class / quality assurance
thesis / project monitoring
dissertation / other ______
research project

I believe the assistance will involve (check all that apply)

choosing a research design / formatting/coding data
identifying research questions / analyzing data
identifying and testing hypotheses / building data models
creating a survey / questionnaire / interpreting reports / output
sampling a population / collecting data / other ______

My statistical experience: (please all that apply)

only high school / occasionally use basic statistics
only one or two undergraduate classes / regularly use statistics
undergraduate degree / occasionally use statistical software
only one or two graduate classes / regularly use statistical software
multiple graduate classes / other ______
graduate degree

Brief description of assistance request:

Property of FSU Department of Statistics Consulting Center