Instructions for Textbook Request Form *We do not purchase online ...
Instructions for Textbook Request Form *We do not purchase online ...
Instructions for Textbook Request Form *We do not purchase online ...
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3<br />
University of Wisconsin Barron County <strong>Textbook</strong> <strong>Request</strong> <strong>Form</strong><br />
*Not to be used <strong>for</strong> <strong>online</strong>, compressed video, wisline, or distant education<br />
courses. <strong>Textbook</strong> <strong>for</strong>ms are due 3 months be<strong>for</strong>e Classes begin!<br />
When will this class begin? (Date)<br />
Name of <strong>Request</strong>or:<br />
Reason <strong>for</strong> New <strong>Textbook</strong><br />
New Course Outdated textbook<br />
Other ( Please Explain)<br />
Please Explain (If more room required please use back of sheet.)<br />
Title<br />
Author (s)<br />
ISBN<br />
Course Number (Example MAT 110)<br />
Course enrollment (How many students)<br />
If yes what textbook(s)<br />
Publisher<br />
Course Name (Example College Algebra)<br />
Is this textbook replacing a previous text(s)?<br />
yes or no<br />
If yes what textbook(s)<br />
<strong>Textbook</strong> will be used<br />
Fall Semester Winterim Spring Semester Summer<br />
Signature of <strong>Request</strong>or<br />
Date<br />
Approved by DEPT Representative?<br />
( Yes or No)<br />
For Department Representatives<br />
Date (Filled in by UWBC Dept Rep)<br />
Name of UWBC Dept Representative<br />
(Print legible or type)<br />
Signature of UWBC Dept Representative<br />
LLS 8/2013
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