Instructor Textbook Adoption Form

Complete the form below and click the Send Request button at the bottom of the page. This will submit your request(s) to the SWCC Bookstore. A confirmation email will also be sent to the E-mail address provide below.

This form is for use by instructors only. *Required

Instructor Information

*Name

*E-mail

Phone

Extension

Course Information

*Course Number (AAA 123)

Course Name

*Type/location of course

*Term Required

*Enrollment

Number of Textbooks

All fields are required for each book. Please Enter all fields.

Textbook #1

*Author

*Title

*Edition

*ISBN

*Publisher

Check this box if you currently use this book and will continue to use it the next time the course is offered.

Textbook #2

*Author

*Title

*Edition

*ISBN

*Publisher

Check this box if you currently use this book and will continue to use it the next time the course is offered.

Textbook #3

*Author

*Title

*Edition

*ISBN

*Publisher

Check this box if you currently use this book and will continue to use it the next time the course is offered.

Textbook #4

*Author

*Title

*Edition

*ISBN

*Publisher

Check this box if you currently use this book and will continue to use it the next time the course is offered.

Other

Supplies Needed

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