TESTING CENTER WORK ORDER

Please complete the following information and attach test materials. Bring to the HPD Testing Center (HPDTC), located on the 5th floor of the Terry Administration Building, Room 1525. For consultation, please contact a Testing Center staff member: by email, hpdtc@nova.edu, or phone: Katrenna, #21522 or Rosario, #21525.

Today’s Date	Semester
Course instructor(s)
Contact person	(Contact phone:)
Email address
Course#(s)
Test Name and #

Roster

CHOOSE ALL THAT APPLY:

(BHSF=Baptist Health South Florida; FL=Ft. Laud.; FM=Ft. Myers; MIA=Miami, TA=Tampa)

☐ AA-1-FL ☐ AA-2-FL ☐ AA-1-TA ☐ AA-2-TA	☐ BMS-1 ☐ BMS-2	☐ D-1 ☐ D-2 ☐ D-3 ☐ D-4	☐ M-1 ☐ M-2 ☐ M-3 ☐ M-4	☐ MBS-1 ☐ MBS-2	☐ NUR-BHSF ☐ NUR-FL ☐ NUR-FM ☐ NUR-MIA Year	☐ OD-1 ☐ OD-2 ☐ OD-3 ☐ OD-4	☐ OT-1 ☐ OT-2 ☐ PA-1 ☐ PA-2	☐ PH-1 ☐ PH-2 ☐ PH-3 ☐ PH-4	☐ PT-1 ☐ PT-2 ☐ PT-3

Test Generation Requests
☐ Generate test from new test questions. (Submit in MS Word, .txt, or .rtf format)	File name:
☐ Generate test from questions in bank.	Item #s:
☐ Add new questions to saved bank.	☐ Print out question bank.
Total number of Test questions:	Date for final review:

(Please indicate special scoring options (e.g., multiple responses, weighted points, extra credit) in Score Requests section.)

Test Copying Requests (After final review, please notify HPDTC of FINAL APPROVAL to print test packets.)
☐ Copy Test.	Total number of copies needed:	Date/time test will be admistered:
Total number of Test questions:	Number of test versions requested:	☐ 1 ☐ 2 ☐ 3 ☐ 4	Use scrambled answers on test versions:	☐ Yes ☐ No
Special requests:
☐ Print double-sided.	☐ Use color paper for cover sheets.	Different color for each version?	☐ Yes ☐ No
☐ Use special cover sheet(s). (Please attach.)	☐ Insert or append extra sheets. (Please attach.)
☐ Include Answer Key in test packet.	☐ Include Test(s) with correct answers in test packet.

Special instructions:

TESTING CENTER WORK ORDER

Course#(s)
Test Name and #
Contact person	Contact phone:
Score Requests
☐ Score test.	Total number Student Scantron sheets:
Total number of Test questions:	Total points test is worth:
Test generated by HPDTC?	☐ Yes ☐ No	If NOT generated by HPDTC, how many answer keys are provided?	☐ 1 ☐ 2 ☐ 3 ☐ 4
☐ Questions with MULTIPLE responses ACCEPTED:
☐ Questions with MULTIPLE responses REQUIRED:
☐ Questions with weighted point values:
Scores & Statistical Reports
Standard Reports (Group Scores, Item Stats, Histogram)	☐ Print ☐ Email
Gradebook Reports: Sorting order (alphabetic, rank, token, etc.):	☐ Print ☐ Email
Additional Reports? (PLEASE list here. Excel report, Individual Score Reports, et al.)	☐ Print ☐ Email

Re-Score Requests

☐ Re-score test.	Add students to previously scored test. Number of additional Scantrons:
☐ Credit ALL student responses for question(s)#:
☐ OMIT question(s) (change to zero points):
☐ Credit MULTIPLE responses for question(s) (Include responses for EACH test version):

Special requests:

Access Instructions:

☐ Anyone has permission to pick-up, view, or edit my tests, scores, or statistics.
☐ Permission to pick-up, view, or edit my tests, scores, or statistics is limited to the following people:
☐ No one has permission to pick-up, view, or edit my tests, scores, or statistics.