Southern Illinois University Edwardsville Logo
Apply to SIUE
Office of the Registrar
Office of the Registrar
Institutional Header
Ad Hoc Data Request Form
This form is used for SIUE departments or external offices who need to gather student data. Please print, complete and sign the form and send it to:

SIUE - Office of the Registrar
Box 1047
Edwardsville, Illinois 62026
Fax: 650-3332

Please call (618) 650-5036 if you have any questions.

Link to Ad Hoc Data Request form

facebookoff twitteroff vineoff linkedinoff flickeroff instagramoff googleplusoff tumblroff foursquareoff socialoff