Opscan Change Form
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1OPSCAN *CHANGE FORM*
Staff Use Only
Date: ____/____/_____
**Use this form to make a change after an exam has been processed**
Time: ______________
Exam #: ____________
COURSE INFORMATION
Initial: ______________
SUBJECT
COURSE #
SECTION #
Quiz #: _____________
Other: _____________
Is this course cross-listed?:
Total #: _____________
Semester:
___________
CONTACT INFORMATION
Instructor:
________________________________________________ Phone:
_____________________
E-mail (Prof/TA):
________________________________________
______________________________
CHANGES IN GRADING CRITERIA
**ATTACH CORRECTED ANSWER KEY FOR ANY QUESTION-RELATED CHANGES**
→ Changing an answer? ____ If yes, attach corrected
answer key.
→ Adding students to exam? ____ If yes, attach student(s) scantron(s).
→ Dropping Questions? ____ If yes, give credit?____
Indicate which question(s) in box below.
→ Weighted Questions?____ If yes, Indicate which question(s) in box below.
→ Multiple Answers? [AND? ____ / OR? ___
_ ] Indicate which question(s) in box below.
V 1/A:
V 3/C:
V 2/B:
V 4/D:
SPECIAL INSTRUCTIONS/COMMENTS
→
___________________________________________________________________________________
Change Submitted/Authorized by (Prof/TA)
Received by (Prof/TA)
Staff Use Only
Date Scanned:
Processed by:
Total Count:
E-mailed results:
12/21/2012
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