EASTERN MICHIGAN UNIVERSITY
Data Request Form
Career Services Center
Contact Person _____________________________________ Date _____________________________
Department/Organization _______________________________________________________________
Email _____________________________________________ Phone ____________________________
Date needed ________________________________
Return to University Advising and Career Development Center
Attn: Mary Chambers, 200 McKenny Hall
or fax (734) 487-0940
Please describe the information needed:
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Please Do Not Write Below This Line – For Office Use Only
Date Received by CSC: __________________
Completed by _________________________________ Date Request Completed _____________
Report was sent by: □ Email □ Campus Mail □ Fax □ U.S. Mail
