SCANNING REQUEST FORM
Date: _______________________ Time: _________________
Instructor name: ________________________________________ Phone number: ___________________________
Department ____________________________________________Course number: ___________________________
Email results to: ______________________________________________@wmich.edu
______________________________________________@wmich.edu
EXAM INFORMATION
o
Exam # ____________
o
Quiz # ____________
o
Midterm
o
Final
o
Survey/Evaluation/Other__________________ (tally only)
# of Keys___________ # of Questions____________ # of Questions Left Blank____________ # of Sections__________
RESULTS
o
SCORES ONLY (Scores are printed on the side of Scantron form – no email is sent)
o
Excel spreadsheet (includes Elearning import tab)
o
STANDARD Word document (alpha and id list, stat report, short report, and tally)
o
LONG Word document (alpha and id list, stat report, short report, long report, and tally)
OR
RETURN FORMS
o
Campus mail sent to mail stop #____________(default-if nothing marked returned to instructor listed above)
o
Hold for pick-up (if not picked up will be sent by campus mail to the instructor listed above after finals week)
Picked-up by: ____________________________________________Date: ________________Time: _______________
Number of sheets processed ____________