Untitled

Term: WINTER 2016 SESSION www.campusstore.brocku.ca/FacultyStaff
Instructor (s)
Date/Time Field
Phone #
Ext
Course and No.
Duration
Also offered as
Email
Section
Location, if Off Campus
Formerly offered as
There won't be any textbooks,
course materials or printed
packages for this course....
Office Use Only
Dept Ext
Prerequisite
True
If True, what will
be used Instead?
False, proceed to fill in requests
INITIAL REQUEST:
ISBN #
Publisher
Office Use Only
Edition
Author(s)
Title
Is this a publisher
Yes
package?
Is this
Required
request?
Will your test/exam be
Yes
based on text material?
Is this a Brock printed
course package?
No
Suggested
No
Hardcover
Is it?
No
Paper
Digital
What percentage will the students be required to use?
Estimated price to students? $
When will this item be used?
(month/year)
Yes
Estimated enrolment?
Suggested quantity
to stock
Will this material be
available in the Library?
If textbook comes packaged with a workbook, study Companion materials (CD-Roms, web codes etc.) which
guide or solution manual, these materials are...
may or may not be pre-packaged with the textbooks are...
Required
Suggested
Not necessary
Required
I will require that each student purchase a copy of the text
Yes
No
I will recommend to students to use the old edition
Yes
No
Suggested
Not necessary
Old edition No.
Additional Information
Office Use Only
STUDENTS WILL ALSO REQUIRE FOR THIS COURSE: e.g. calculators, DVD-R's, graph paper, kraft envelopes etc.
Item / Product / Software
Quantity
Model # / Comment
After all your adoption requests are complete, 1) Fill in the Email address of the CHAIR
2) Fill in the Email Address of the Instructor 3) Save the file with a unique name on your computer Desktop
4) Email a copy to your Department Chair, Admin. Assistant and a copy to [email protected]
5) CHAIR to send a confirmation email to [email protected] after reviewing this form
Chair Email Address or Signature
Instructor's Email Address or Signature
Office Use Only
REQUEST #2
Term: WINTER 2016 SESSION www.campusstore.brocku.ca/FacultyStaff
ADDITIONAL REQUESTS:
Office Use Only
Instructor Name
ISBN #
Course and No.
Publisher
Pg. 2 of
Office Use Only
Edition
Author(s)
Title
Is this a publisher
Yes
package?
Is this
Required
request?
Will your test/exam be
Yes
based on text material?
No
Is this a Brock printed
course package?
Suggested
Is it?
No
Paper
Digital
No What percentage will the student be required to use?
Estimated price to students? $
When will this item be used?
(month/year)
Hardcover
Yes
Estimated enrolment?
Suggested quantity
to stock
Will this Material be
available in the Library?
If textbook comes packaged with a workbook, study Companion materials (CD-Roms, web codes etc.) which
guide or solution manual, these materials are...
may or may not be pre-packaged with the textbooks are...
Required
Suggested
Not necessary
Required
I will require that each student purchase a copy of this text
Yes
No
I will recommend to students to use the old edition
Yes
No
Additional Information:
Suggested
Old edition No.
Not necessary
Term: WINTER 2016 SESSION
ADDITIONAL REQUESTS:
Office Use Only
Instructor Name
ISBN #
REQUEST #3
www.campusstore.brocku.ca/FacultyStaff
Course and No.
Publisher
Pg. 3 of
Office Use Only
Edition
Author(s)
Title
Is this a publisher
Yes
package?
Is this
Required
request?
Will your test/exam be
Yes
based on text material?
No
Is this a Brock printed
course package?
Suggested
Is it?
No
Paper
Digital
No What percentage will the student be required to use?
Estimated price to students? $
When will this item be used?
(month/year)
Hardcover
Yes
Estimated enrolment?
Suggested quantity
to stock
Will this Material be
available in the Library?
If textbook comes packaged with a workbook, study Companion materials (CD-Roms, web codes etc.) which
guide or solution manual, these materials are...
may or may not be pre-packaged with the textbooks are...
Required
Suggested
Not necessary
Required
I will require that each student purchase a copy of this text
Yes
No
I will recommend to students to use the old edition
Yes
No
Additional Information:
Suggested
Old edition No.
Not necessary
REQUEST #4
Term: WINTER 2016 SESSION www.campusstore.brocku.ca/FacultyStaff
ADDITIONAL REQUESTS:
Office Use Only
Course and No.
Instructor Name
ISBN #
Publisher
Pg 4 of
Office Use Only
Edition
Author(s)
Title
Is this a publisher
Yes
package?
Is this
Required
request?
Will your test/exam be
Yes
based on text material?
No
Is this a Brock printed
course package?
Suggested
Is it?
No
Paper
Digital
No What percentage will the student be required to use?
Estimated price to students? $
When will this item be used?
(month/year)
Hardcover
Yes
Estimated enrolment?
Suggested quantity
to stock
Will this Material be
available in the Library?
If textbook comes packaged with a workbook, study Companion materials (CD-Roms, web codes etc.) which
guide or solution manual, these materials are...
may or may not be pre-packaged with the textbooks are...
Required
Suggested
Not necessary
Required
I will require that each student purchase a copy of this text
Yes
No
I will recommend to students to use the old edition
Yes
No
Additional Information:
Suggested
Old edition No.
Not necessary
REQUEST #5
Term: WINTER 2016 SESSION www.campusstore.brocku.ca/FacultyStaff
ADDITIONAL REQUESTS:
Office Use Only
Instructor Name
ISBN #
Course and No.
Publisher
Pg. 5 of
Office Use Only
Edition
Author(s)
Title
Is this a publisher
Yes
package?
Is this
Required
request?
Will your test/exam be
Yes
based on text material?
No
Is this a Brock printed
course package?
Suggested
Is it?
No
Paper
Digital
No What percentage will the student be required to use?
Estimated price to students? $
When will this item be used?
(month/year)
Hardcover
Yes
Estimated enrolment?
Suggested quantity
to stock
Will this Material be
available in the Library?
If textbook comes packaged with a workbook, study Companion materials (CD-Roms, web codes etc.) which
guide or solution manual, these materials are...
may or may not be pre-packaged with the textbooks are...
Required
Suggested
Not necessary
Required
I will require that each student purchase a copy of this text
Yes
No
I will recommend to students to use the old edition
Yes
No
Additional Information:
Suggested
Old edition No.
Not necessary
REQUEST #6
Term: WINTER 2016 SESSION www.campusstore.brocku.ca/FacultyStaff
ADDITIONAL REQUESTS:
Office Use Only
Instructor Name
ISBN #
Course and No.
Publisher
Pg. 6 of
Office Use Only
Edition
Author(s)
Title
Is this a publisher
Yes
package?
Is this
Required
request?
Will your test/exam be
Yes
based on text material?
No
Is this a Brock printed
course package?
Suggested
Is it?
No
Paper
Digital
No What percentage will the student be required to use?
Estimated price to students? $
When will this item be used?
(month/year)
Hardcover
Yes
Estimated enrolment?
Suggested quantity
to stock
Will this Material be
available in the Library?
If textbook comes packaged with a workbook, study Companion materials (CD-Roms, web codes etc.) which
guide or solution manual, these materials are...
may or may not be pre-packaged with the textbooks are...
Required
Suggested
Not necessary
Required
I will require that each student purchase a copy of this text
Yes
No
I will recommend to students to use the old edition
Yes
No
Suggested
Not necessary
Old edition No.
Additional Information:
IF you still have more Adoption Requests 1) Save this file as R1-6 2) Open a new file. Don't forget to save it as R7-x 3) Em