Scantron Work Order Form

Contact Name:*

(First Name)                             (Last Name)   
       

Department:*

Academic Affairs Academic Success Center Accounting and Finance Anthropology Arts and Sciences Audiology and Speech Sciences Biology CELT Center for Women and Returning Adults Chemistry Communication Computer Science Consumer and Family Sciences Continuing Studies Cooperative Education Dental Education Diversity and Multicultural Affairs Doermer School of Buisness and Management Sciences Economics Education Electrical and Computer Engineering Technology Engineering, Technology and Computer Science English and Linguistics Fine Arts General Studies Geosciences Gerontology Health and Human Services History Human Services Information Technology Services Institutional Research International Language and Culture Studies IU School of Medicine Journalism Labor Studies Liberal Studies Library Management and Marketing Manufacturing & Construction Engineering Tech. & Interior Design Mathematical Sciences Music Music Therapy Nursing Organizational Leadership and Supervision Peace and Conflict Studies Philosophy Physics Political Science Psychology Public and Environmental Affairs Research and External Support Sociology Theatre Visual and Performing Arts Visual Communication and Design Women's Studies

Campus Telephone:*   260-481-

Campus Address:*

(Building) Classroom-Medical Bldg. Dolnick Engineering, Technology-Computer Science Bldg. Gates Sports Center Ginsberg Hobson Center Kettler Hall Helmke Library Life Sciences Resource Center Neff Hall Physical Plant Printing Services and Warehouse Rhinehart Music Center Science Bldg. Student Housing Visual Arts Bldg. Williams Theatre Walb Student Union

(Room number)

Email:*

Instructor Name:*

(First Name)                             (Last Name)   
       

Course Name(s) and Number(s):

Total Number of Forms:

(approximate is fine)

Date & Time job will be delivered to CELT*:

(mm/dd/yy)    AM PM
(For after-hours drop off, please use the after-hours drop off box located at the ITS helpdesk, in Kettler 206.)

Date and Time Needed*:

While-You-Wait (By selecting the "While-You-Wait" option, you are scheduling this job to be run for the date and time it will be delivered to CELT. You will be contacted as soon as possible if there is a conflict with the time you have requested.)

ASAP (Your job will be run as soon as possible upon delivery, and you will be notified upon its completion)

Other (please specify)
(mm/dd/yy)    AM PM

Type of form*:

Red Test forms (F288-ERI, F289-ERI)
Teal Combo forms (X-10186)
Pink Evaluation forms
Other (Please verify that these forms can be scored using the equipment in the CELT office by calling Stephanie Haneline at 481-6354 or by emailing scantron@ipfw.edu prior to using the forms.)

If you are sending the red test forms or the teal combo forms to be graded, please read the information below. Your job will not be completed without the following:

1. All forms must have the ID number section completed with the same number of digits but unique IDs for each student. (1 digit all the way up to 9 digits are allowable. Each set to be run must have the same number of digits in the ID section for all forms to be graded as one session.)

2. All forms, including keys, must have the Test Form section completed. (This indicates which version of the test was taken. Even if only one version was available, this section must still be completed.)

3. Multiple answers on the key must be specified as "and" or "or" answers and noted in the special instructions below. ("And" means that all correct responses on the key must be present for the answer to be considered correct. "Or" indicates that only one of all answers indicated on the key is needed. If more than one answer is marked on an "or" type question, the machine will see this as a multiple mark response and it will not be graded.)

If you are planning to send pink evaluation forms
to be scanned, please be sure to include your data disk with the appropriate data saved to the disk.
If you have never dealt with this particular form before, please contact Stephanie Haneline at the CELT Office (481-6354 or scantron@ipfw.edu) for assistance before submitting your job.

Type of report to be received*:

I would like the Standard Report, please. (test forms only)
I would like the Detailed Report, please. (test forms only)
I would like the Standard Evaluation Data on disk. (evaluation forms only)

Special Instructions:

(Please note any "and" or "or" questions, changes in point values, or additional information here.)