print.centre@dal.ca
902-494-6428
EXAM SCANNING AND BUBBLE SHEET
REQUISITION FORM
Scanning Request Form
November 2013
*Please Print
Name: __________________________________________________________________________
Department: _____________________________
Date Submitted: _________________________
Professor Name: __________________________ Evaluation Date: _________________________
Department Account Number: ________________ 8615 (Scanning) or 8660 (Bubble Sheet)
Phone: __________________________________ Dalhousie Email: ________________________
Course Name: ____________________________
NOTE: Account number required to process requisition form
REQUESTED SERVICES:
( ) Scan Only ($0.15/sheet, minimum of $6.00 per job)
( ) Scan and Process as Exam (add $4.00 per run)
( ) Other (specify) ____________________________
RESULTS (check all that apply):
Output:
Email other files:
( ) Printed
( ) Email
( ) Tabbed marks
( ) Category marks
( ) Raw data
( ) Merged tabbed marks for a set of exams
BUBBLE SHEET RETURN METHOD:
( ) Customer pick-up: ______________________
( ) External courier ($5.00 delivery fee)
( ) Campus mail
( ) Dalhousie Print Centre delivery (Chris)
*BUBBLE SHEETS WILL BE RETURNED BY CAMPUS MAIL IF NO OTHER METHOD IS SELECTED
TO PURCHASE BLANK BUBBLE SHEETS, SELECT ONE OF THE FOLLOWING:
( ) Five Answer Bubble Sheet $50.00 per 500 sheets X ___ pkgs
( ) Ten Answer Bubble Sheet $60.00 per 500 sheets X ___ pkgs
Total: _____________
Total: _____________
OFFICE USE ONLY
Number of Sections: ____________
Job Number(s):
____________
Number of Sheets: ____________
Total Sheets:
____________
____________
____________
Date Received:
____________ By: ____________
Date Scanned:
____________ By: ____________
Date Processed:
____________ By: ____________
Contacted: ( ) Email ( ) Phone By: ____________
____________
____________
_______________
_______________
Scanning: $ _______________
Processing: $ _______________
Other:
$ _______________
Total Bill: $ _______________
Notes:
___________________________________________________________________
___________________________________________________________________
Multiple Choice Exam (MCEXAMS)
Processing Specifications
General Information
Exam Title: ________________________________ (25 characters maximum includes spaces)
Exam Date: _____ [DD] _____ [MM] _____ [YY] (Optional)
Number of examinees: _____ (Optional, limit 2000)
Number of last question: _____ (Number of questions including any omitted, limit 200)
Number of choices:
_____ (Standard is 5 maximum per question)
Requested-Extra points: _____ (Optional, added to student’s raw scores before scaling)
Bonus points: _____ (Optional, deducted from maximum raw score before scaling)
Score out of: _____ (Optional, limit 9999)
Output Options
Number of Copies
Student Scores
- sorted by name
- sorted by ID number
- sorted by score and name
- sorted by score and ID number
- sorted by class/section and name
- sorted by class/section and ID number
- sorted by class/section, score, and name
- sorted by class/section, score, and ID number
Histograms
- of raw score
- of requested score
- of percentage score
- of standard score
_____
_____
_____
_____
Category Analysis
(number of categories: _____, maximum 99)
- for class
- for students, sorted by name
- for students, sorted by ID number
_____ *†
_____ *†
_____
Category marks file: (1) with raw scores or (2) percentage scores
- sorted by categories (if categories provided)
_____ *
_____ *
_____
_____
_____
_____
_____
_____
_____
Question Analysis with distribution of answers among students of varying ability
- sorted by question number
_____
- sorted by discrimination (incorrect answers)
_____ *
Report for Each Student with student’s answers, correct answers, and class results
- sorted by name
_____
- sorted by ID number
_____
* If no reports are specified, the indicated reports will be produced († if appropriate).
Answer Key Changes: (e.g., omitted questions, questions with multiple correct answers)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________