subject_line
E-Textbook Request
Instructor Contact Information
First Name
*
Last Name
*
Email
*
Phone Number
Course & Textbook Information
Course Name:
*
Course Number:
*
Section:
Title of Textbook:
*
Textbook author(s):
*
ISBN Number:
Do you currently use an OER?
*
Yes
No
Please provide the URL for the OER:
Would you like us to locate a suitable OER?
Yes
No
Your subject liaison will research to find a suitable OER and contact you.
Semester (check all that apply)
*
Summer I
Summer II
Summer U
Number of Sections:
Comments: