Electronic Grade Book Request Form

This electronic grade book procedure will expedite your requests and improve our services to your students and you! Backups and reports will be made for you each time your tests are scored by our scanning services.

Par Score grade book requests need to be filled out at the beginning of each semester.

Test banking requests will be processed according to the date they are retrieved from the Test Banking box outside of the Clinical Simulation Lab. The box is checked each working day in the morning, before 9:00am and again in the afternoon, at 1:00pm.

We look forward to working closely with you as we strive to improve our services for our students and the Medical Campus. We welcome your comments and suggestions!

Ghebriela (Gabby) Maasho 7-4257
Testing Director 7-4233

The procedure is:
1. Fill out this grade book request form, including the number of students in each of your classes.
2. Test banking personnel will supply sufficient Student Enrollment forms and Red Scantron answer sheets for each of your classes.
3. Your students will bubble in their last name, first name, MDID#, and telephone # with a #2 pencil on the enrollment form when they take their first test.

Faculty Member Name*

First Name

Last Name

Faculty Member Email*

Faculty Member Office Phone Number*

Faculty Member Alternate Phone Number

Course

Course Name*

Course ID*

Reference #*

# of Students*

Days of the week this course meets: Choose all that apply*

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Course Start Time

:

Course End Time

:

Grading Scale

Please enter your grading scale below if different from the default scale.

A = 92.5

B = 84.5

C = 76.5

D = 68.5

F = Less than 68.5

Use Custom or Default Grading Scale?*

Default Grading Scale Custom Default Grading Scale

A =*

B =*

C =*

D =*

F =*

Choose an Assignment

In this section you can add up to 6 assignments.

Choose an Assignment (1)