Required Textbook Form for Faculty

Please use this form for requesting a required textbook for a course you are teaching. Please indicate NA if the field is not applicable or you do not yet have the information. Please be aware that if you are unable to supply us with complete citation information, there may be delays in processing this request. * Indicates a required field.


Your Name *	:
Phone Number(s) *	:
Email address(es) *	:
Needed for term *	:
Term year *	:
Campus Location	:
Class Number *	:
Class Title *	:
No. of students enrolled (estimate if necessary) *	:
Textbook #1 Title	:
Textbook #1 Author *	:
Textbook #1 Publisher *	:
Textbook #1 Publication Year *	:
Textbook #1 Edition *	:
Textbook #1 ISBN *	:
Textbook #1 Comments	:
Textbook #2 Title	:
Textbook #2 Author	:
Textbook #2 Publisher	:
Textbook #2 Edition	:
Textbook #2 ISBN	:
Textbook #2 Comments	:

Please enter the text in the image:

Springfield
St. Louis