Instructions for Textbook Request Form *We do not purchase online ...

2
EXAMPLE ONLY
University of Wisconsin Barron County Textbook Request Form
*Not to be used for online, compressed video, wisline, or distant education
courses. Textbook forms are due 3 months before Classes begin!
When will this class begin? (Date) Jan 25 2013
Name of Requestor: Linda Snider
Reason for New Textbook
New Course Outdated textbook
Other ( Please Explain)
Please Explain (If more room required please use back of sheet.)
New Course MUS 385 Music and history of the Civil War
Title
Rousing Songs & True Tales of the Civil War
[Paperback]
ISBN
978-1883206338
Course Number (Example MAT 110)
MUS 385
Course enrollment (How many students)
25 students expected
If yes what textbook(s)
Author (s)
Wayne Erbsen
Publisher
Native Ground Music; Later edition (April 1,
1999)
Course Name (Example College Algebra)
Music and history of the Civil War
Is this textbook replacing a previous text(s)?
yes or no
If yes what textbook(s)
Textbook will be used
Fall Semester Winterim Spring Semester Summer
Signature of Requestor
Approved by DEPT Representative?
( Yes or No)
Date
11/1/2012
For Department Representatives
Date (Filled in by UWBC Dept Rep)
Name of UWBC Dept Representative
(Print legible or type)
Signature of UWBC Dept Representative