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Home :· Books :· Textbooks :· Course Materials Adoption Form :·
Textbooks
Textbook Reservation Service
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Course Materials Adoption Form
UCSD Authorized Personnel Only
Student Response Systems information ("clickers" or transmitters) :·
* = Required Fields
Instructor/Course Information
Term:* Fall Winter Spring Summer 1 Summer 2
Department:*
Course No:*
Est. Enrollment:*
Instructor Name:*
Requestor First Name:*
Instructor Email:*
Requestor Last Name:*
Campus Phone:*
Requestor Email:*
For University Extension Courses Only
Course Section I.D.:
Start Date:
End Date:
Location: La Jolla Rancho Bernardo Sorrento Mesa
Special Circumstances
No Text Required Material at A.S. Soft Reserves Material at Groundwork Books
Material at A.S. Soft Reserves and Material at Groundwork Books
Requestor Comment
Book Information
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Title:
Edition & Publisher:
Author:
ISBN: Required Recommended
Custom Course Materials
Title of Course Material:
Source of Original:
Faculty will provide Bookstore has a copy on file from a previous quarter
Materials are:
Same New Revised
Title & Edition:
Author:
Choose One:
Book Periodical If periodical, Volume Number
Title of Article/Chapter:
ISBN/ISSN:
Publisher/Copyright Owner:
Copyright Year:
Page #'s to be duplicated:
Publisher Address (if known):
Title & Edition:
Author:
Choose One:
Book Periodical If periodical, Volume Number
Title of Article/Chapter:
ISBN/ISSN:
Publisher/Copyright Owner:
Copyright Year:
Page #'s to be duplicated:
Publisher Address (if known):
Title & Edition:
Author:
Choose One:
Book Periodical If periodical, Volume Number
Title of Article/Chapter:
ISBN/ISSN:
Publisher/Copyright Owner:
Copyright Year:
Page #'s to be duplicated:
Publisher Address (if known):
If this form does not meet your needs, you may submit it again with additional information, email your order, or use the forms in this pdf version. If you have any problems with this form, send your comments to us.
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