Semester:   Year:
Textbook & Supply Adoption Form

Date:

Professor:
Course#
Class#
Class Type: Full 16 weekFirst 8 weekSecond 8 week IVN
Course Title:
Exact Title as listed in the current Schedule

 Actual Enrollment Previous Term
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Please Note: Textbook and supply orders are based upon the enrollment numbers you provide.
If you do not require a textbook or supply the University Store will not order a full inventory.
No Books or Supplies Needed
Book #
  New Book? Yes No
Author Title Publisher
ISBN
Edition
Copyright
Required
Optional  
Book #
  New Book? Yes No
Author Title Publisher
ISBN
Edition
Copyright
Required
Optional
Signature of Professor:____________________________________________________________ Phone: Date:

Signature of Department Chair:_____________________________________________________ Phone: Date:
Return a signed copy of this form to the Department Secretary before