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	Today’s date.	Semester	Semester Year.
Course instructor(s)	Course instructor(s).
Contact person	Contact person.	Contact phone:	Phone.
Email address	Email address.
Course#(s)	Course #(s).
Test Name and #	Test	Test# .

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:	File name
☐ Generate test from questions in bank.	Question bank	Item #s:	Item #s
☐ Add new questions to saved bank.	Question bank	☐ Print out question bank.	Question bank
Total number of Test questions:	# of Test questions	Date for final review:	Final review date

(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:	# of copies	Date/time test will be admistered:	Test Day & Time.
Total number of Test questions:	# of 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: Click or tap here to enter special instructions.

Course#(s)	Course #(s).
Test Name and #	Test	Test# .
Contact person	Contact person.	Contact phone:	Phone.
Score Requests
☐ Score test.	Total number Student Scantron sheets:	# of student scantrons
Test generated by HPDTC?	☐ Yes ☐ No	If NOT generated by HPDTC, how many answer keys are provided?	☐ 1 ☐ 2 ☐ 3 ☐ 4
Total number of Test questions:	# of Test questions	Total points test is worth:	Total test points
☐ Questions with MULTIPLE responses ACCEPTED.	Question(s) # and accepted responses.
☐ Questions with MULTIPLE responses REQUIRED.	Question(s) # and required responses.
☐ Questions with weighted point values.	Question(s) # and point value(s).

Scores & Statistical Reports

Standard Reports (Group Scores, Item Stats, Histogram)	☐ Print ☐ Email
Gradebook Reports	☐ Print ☐ Email Alphabetic, rank order?
Additional Reports?	☐ Print ☐ Email Excel? Individual Score Reports?
Re-Score Requests
☐ Re-score test.	Add students to previously scored test. Number of additional Scantrons:	# of scantrons
☐ Credit ALL student responses for question(s)#:	Question(s) # to credit ALL responses.
☐ OMIT question(s) (change to zero points):	Question(s) # change to ZERO point value(s).
☐ Credit MULTIPLE responses for question(s) (Include responses for EACH test version):	Test version, Question(s) # and accepted responses.

Special instructions: Click or tap here to enter special instructions.

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: People allowed access to these test materials
☐ No one has permission to pick-up, view, or edit my tests, scores, or statistics.