Textbook Adoption Form

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

Course Information
Term
Instructor First Name:
Instructor Last Name:
Department:
Course Number:
Division:
Mode:
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: