Document 6556207

(For Staff use Only)
Time In
Job Number
____________
Office of
Measurement and
Evaluation of Teaching
-
Scanning Service
Scanning
Service
Request Form
Request
Form
OMET.
Cathedral
of Learning
Alumni
Hall B-23 G-33
M-F8:30
8:30a.m.
a.m. 5
- 5p.m.
p.m.
M-F
pitt.edu
• Student Answer Sheets and Keys must be filled out with a #2 pencil
Student Answer Sheets and Keys must be filled out with a #2 pencil
• Make sure the Key bubble is completely filled on any keys submitted
Make sure the Key bubble is completely filled on any keys submitted
• Results
returned
electronically
within
24 hours
(excluding
weekends
& holidays)
Results
areare
returned
electronically
within
24-hours
(excluding
weekends
& holidays)
• Contact
tests@pitt.edu
any questions
or concerns
Contact
Us Us
via via
omet.pitt.edu
with with
any questions
or concerns
Please
print
clearly
when
filling
out the
• Please
print
clearly
when
filling
out form
the form
Instructor Info
Contact Person Info (optional) Name
Name
Department
Course #
Phone
Phone
E-mail
E-mail
Key Info (for multiple uses only)
Form Info
Type
Test
Survey/Questionnaire
Test Name
Use previously saved key
The key that will be used will be based on the information provided on this form (Instructor Name,Department, Course #, and Test Name).
Date
Student’s in Testing Center
Number of Questions
Check this box if you have any students taking the
exam at the Testing Center. If this exam has multiple
versions, please write the versions(s) each student will
use below.
Special Instructions: