Textbook Adoption Form


This form is for instructor use only and not intended for student use.

Course Information

Term:
(Semester & Year)
Course #:
(HIST 1301, COM 3430, etc.)


If there is NO textbook
required for this course do
the following: Type the
section(s) that will not be
using a textbook, If all
sections will not be using a
textbook type ALL.

If there is a textbook(s)
required for this course do
the following: Type the
section(s) that will be using a
textbook(s), If all sections
will be using a textbook(s)
type ALL. Please continue to
fill out the rest of this form
and submit.

Number of Students Expected:

Textbook #1

ISBN:
First Author's Last Name:
Title:
Edition:
Publisher:
Required:

Textbook #2

ISBN:
First Author's Last Name:
Title:
Edition:
Publisher:
Required:

Textbook #3

ISBN:
First Author's Last Name:
Title:
Edition:
Publisher:
Required:

Textbook #4

ISBN:
First Author's Last Name:
Title:
Edition:
Publisher:
Required:

Textbook #5

ISBN:
First Author's Last Name:
Title:
Edition:
Publisher:
Required:

If you need to insert more books finish this form and fill out another and under "other comments" type in "CONTINUED"

Contact Information and Other

PLEASE fill out the REMAINDER of this form and CLICK ON the SUBMIT BUTTON when finished.

If extra materials
(CD's, disks, tapes,
pin numbers, etc.)
are included with
the textbook, will it
be required?

Other Comments:
Your Name:
Email Address:
(i.e. john.doe@victoriacollege.edu)
Phone:
Thank you for your cooperation. Have a nice day!

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