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• Textbook Adoption Form

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Contact:
Online Education Office
Office: (417)873-7727
Toll Free: (888)740-4638
online@drury.edu

Textbook Adoption Form

Instructions:
1. Complete the appropriate fields below.
2. List one course per Textbook Adoption Form.

Course Information
Course Type:	Day - Seated Evening - Seated / Blended Online
Term
Instructor First Name:
Instructor Last Name:
Department:
Course Number:
Section:
Course Title:
Phone Number:
E-mail:
Address:
City:
State:
Zip Code:
Is this your first time teaching this course at Drury University?
	Yes No
Does this course use a textbook?
	Yes No

Textbook Information
Note: If you selected "Yes, this course uses a textbook", complete the appropriate fields below.

Author First Name:
Author Last Name:
Author MI:
Title:
ISBN Number:
Latest Edition:*
Publisher:
Is it required?	Yes No
Is this a special bundle?	Yes No
If this book has an access code, is the access code required for the student.	Yes No
If yes, specify contents:

*Bookstore policy is to order the latest edition of the textbook

Do you have a desk copy?	Yes No
What edition do you have?

The textbook(s) that you would like instructor materials for:

Optional Second Textbook
Author First Name:
Author Last Name:
Author MI:
Title:
ISBN Number:
Latest Edition:*
Publisher:
Is it required?	Yes No
Is this a special bundle?	Yes No
If this book has an access code, is the access code required for the student.	Yes No
If yes, specify contents:

*Bookstore policy is to order the latest edition of the textbook

Do you have a desk copy?	Yes No
What edition do you have?

The textbook(s) that you would like instructor materials for:

Optional Third Textbook
Author First Name:
Author Last Name:
Author MI:
Title:
ISBN Number:
Latest Edition:*
Publisher:
Is it required?	Yes No
Is this a special bundle?	Yes No
If this book has an access code, is the access code required for the student.	Yes No
If yes, specify contents:

*Bookstore policy is to order the latest edition of the textbook

Do you have a desk copy?	Yes No
What edition do you have?

The textbook(s) that you would like instructor materials for:


Comments

Additional Comments: