Schreyer Institute for Teaching Excellence
Scanning Operations
Scan Sheet Order Form
(for Penn State use only)
Contact Information
Name:
Email:
Office Phone:
Office Fax:
Department/Unit:
College/Admin Area:
Delivery Options
Delivery Method
Note: Maximum one (1) package sent by Campus Mail.
Note: Ship by Carrier requires account number.
Pickup at Testing Center
Campus Mail
Ship by Carrier
Send Attention To:
Account to charge:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Requested Forms
5C2005 - 5-Choice Full Sheet (package of 500 sheets)
5CH2005 - 5-Choice Half Sheet (package of 500 sheets)
10C2005 - 10-Choice Full Sheet (package of 500 sheets)
IGS 2005 - Instructor Graded Score (package of 500 sheets)
You may also submit this form via mail or fax
Schreyer Institute for Teaching Excellence, Testing Services
105 Pollock Testing Center
University Park, PA 16802
Phone (814) 863-2802
Fax (814) 863-2322
http://www.testing.psu.edu/