Price Per Book $ __________ Instructor Recommendation: ________ Rental ________ Purchase Procedure for Securing Approval for New Edition of Same Textbook (PLEASE INCLUDE ALL INFORMATION REQUESTED) This form should be submitted together with any supporting statements to the Instructional Support Services Office A. I hereby recommend the following new edition for adoption as the basic textbook in: Course_________________________________________________________ Semester______________ Author _______________________________________________________________________________ Title _________________________________________________________________________________ Publisher____________________________________________City_____________________State_____ Copyright Date ________ Edition ________ ISBN# __________________ Enrollment limit per section ______________ B. Requirement of ADA Compliance 1. I will request an “alternative text” version of this text from the vendor ____Yes ____No 2. I need assistance attaining an “alternative text” version of this textbook* ____Yes ____No *Copy of this document will be forwarded to the Text Specialist Instructor’s Signature __________________________________________ Printed Name_________________________________________________ C. Vice President of Instruction: I have read supporting statements and approve adoption of this new edition as recommended. _________________________________________ __________ Vice President, Instruction Date New Edition Only 8/26/10 Version 3/2/12 Rev. For Office Use: Emailed ______ Online Update _______ COR Update ______