The University of New Mexico
Office of Medical Student Affairs

MSC08 4700
Basic Medical Sciences Building, Room 107
1 University of New Mexico
Albuquerque, NM 87131

Phone: (505) 272-3414
 Fax: (505) 272-8239

Request for Student Info

This form should be used by UNM employees to request student information

Requestor Name:

Email Address:

Today's Date:

Office/Department:

Specific Information Requested:

Business Need for Requested Info:

Date Needed:

Requests are processed within 3-5 business days

Acknowledgement: Data stored on University computers are an institutional resource and belong ot the university. These data are available to qualified individuals for University related uses. The requestor/user agrees to make responsible and ethical use of the data in cooperation with the offices that manage and maintain the data, the offices with functional or custodial responsibility. The user agrees to abide by the guidelines and provisions set forth by the Family Education Rights and Privacy Act of 1974 (FERPA)