GIS Data Request Form

Comments

This field is for validation purposes and should be left unchanged.

Requestor Name(Required)

First Last

Email Address(Required)

Requestor Type(Required)

UW-Madison Student

UW-Madison Faculty/Staff

Other Student, Faculty, Staff

Other

Geographic Area of Interest(Required)

Wisconsin

Other

If other, please define area of interest(Required)

Wisconsin Data Options (use Shift/Ctrl to select multiple)(Required)

Please indicate statewide, or counties of interest.

Description of data layers needed(Required)

Project Request Type

Educational/Academic Course

Research Project

Personal Interest/Other

Course Title/Number & Institution(Required)

Ex: GEOG 370 - UW-Madison

Research project description (brief)(Required)

Please briefly describe the project to help us more accurately answer your question.

Project description (brief)(Required)

Please briefly describe the project to help us more accurately answer your question.

General description (brief)(Required)

To help us better assist you, please tell us a little about what you hope to achieve with the data, or how you are planning to use/display it.