Test Scoring Request Form General Information Instructor’s Name: UCF Email (required): Phone (required): Dropped off by: (If other than instructor) ______________________________ (First) ______________________________ _____________________________ (Last) ______________________________ Call when the test is ready. An email notification will always be sent. ______________________________ _____________________________ (First) (Last) Signature: ______________________________ Date: _________________ Class and Test Information Prefix + Number: ___ ___ ___ ___ ___ ___ ___ ___ (Please include C, L, H, etc. when applicable) Section: (1 character during summer terms should be A, B, C, or D) Test Column Name: ______________________________ Number of Questions: __________ Number of Versions: __________ Use the same answer key(s) for multiple sections ___ ___ ___ ___ st this is a re‐grade (please explain) Requested Results If a UCF email address was provided and no options are selected below, the results will only be emailed. If you do select to have them printed, we will not send them via email unless that option is also selected. However, please note that privacy laws prohibit us from sending any student data to non‐UCF email addresses. Email both of the following PDF files, and an Excel compatible .csv file containing the scores (default) Print the summary / item analysis report Print the individual student reports, one sheet per student (only recommended if you hand them out to students) Special Instructions: Pick Up Authorization Release to the instructor or to the person who dropped off the test (default) Release to the instructor only Release to: Picked Up by Printed Name: ______________________________ (First) _____________________________ (Last) Signature: ______________________________ Date: _________________ Please visit the Test Scoring web site at http://olympus.cc.ucf.edu/~tester or call 407‐823‐5493 if you need assistance.