Textbook Adoption Request
To request the adoption of textbook(s), please complete and submit this form. The information will be delivered to the selected division chair, who will either forward the request to the bookstore or return it to you with comments.

For additional information, please contact:

 
Course Information  
Term: Fall Spring Summer Year:
Course Number: Course Title:
 
Is this a Continuing Education Course? Yes No  
For Continuing Education courses only, please enter start date and Q Term:  
Start Date: Term: 1Q 2Q 3Q 4Q Year:
 
 
Initiating Faculty Information  
Name:
E-Mail Address: Phone # or Ext:
 
 
Testing Form Selection  
Check the appropriate testing forms to be used in this class:

  Form 882-E       Form F-1712-PAR-L       Form 815-E       Blue Book       None      
 

 
Number of books to be ordered for this course on this form:

  None       One       Two       Three       Four       Five

  Check "none" if no books are to be ordered for the course.
  If you check "none," you may enter comments but NOT book information.
 

 
Book # 1 		 
Required Optional
Title:
Author:
Publisher: Edition:
ISBN:
Quantity Requested:
Vernon CCC SLC STC High School Other
If quantity is requested for OTHER, please specify location:
 
Is this book a bundle package? Yes      No
If yes, please list the required components:
          

Comments about Book 1
         
 
 
 
Book # 2 		 
Required Optional
Title:
Author:
Publisher: Edition:
ISBN:
Quantity Requested:
Vernon CCC SLC STC High School Other
If quantity is requested for OTHER, please specify location:
 
Is this book a bundle package? Yes      No
If yes, please list the required components:
          

Comments about Book 2:
          
 
 
Book # 3 		 
Required Optional
Title:
Author:
Publisher: Edition:
ISBN:
Quantity Requested:
Vernon CCC SLC STC High School Other
If quantity is requested for OTHER, please specify location:
 
Is this book a bundle package? Yes      No
If yes, please list the required components:
          
 
Comments about Book 3:
        
 
Book # 4 		 
Required Optional
Title:
Author:
Publisher: Edition:
ISBN:
Quantity Requested:
Vernon CCC SLC STC High School Other
If quantity is requested for OTHER, please specify location:
 
Is this book a bundle package? Yes      No
If yes, please list the required components:
          
 
Comments about Book 4:
         
 
Book # 5 		 
Required Optional
Title:
Author:
Publisher: Edition:
ISBN:
Quantity Requested:
Vernon CCC SLC STC High School Other
If quantity is requested for OTHER, please specify location:
 
Is this book a bundle package? Yes      No
If yes, please list the required components:
          
 
Comments about Book 5:
          
 
Specify Division Chair to receive request:
Joe Johnston, Communications
Shana Munson, Continuing Education
Mark Holcomb, Information and Industrial Technology
Gary Don Harkey, Mathematics and Sciences
Greg Fowler, Behavioral and Social Sciences
Donnie Purvis, for testing purposes only

 
When you submit this form, you will receive either a confirmation screen that the message has been delivered OR an error message requesting additional information.

Textbook requests are delivered to division chairs. It is their responsibility to forward approved requests to the bookstore.

If you wish to select more than 5 books for a single course, complete the form a second time with your additional requests and put a note in the comments section.


 

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