UMD College in the Schools
Textbook Approval Form
To be completed by the CITS teacher in collaboration with his/her high school
administrator.
UMD CITS course:
High School’s name:
CITS teacher’s name:
Phone Number:
E-mail:
Principal’s name:
Phone Number:
E-mail:
Current Textbook
Author (s):
Title:
Publisher:
Publication year:
ISBN #:
Edition:
Special requirements (includes CD, workbook, instructor’s edition, Midwest edition, et al.):
If you plan to purchase a new textbook, complete the following:
Proposed New Textbook for Purchase
Author (s):
Title:
Publisher:
Publication year:
ISBN #:
Edition:
Language:
Special requirements:
Is an instructor’s edition available for preview by the UMD CITS faculty liaison?
Yes
No
Number of students per term in the CITS course:
1st section
2nd section
3rd section
4th section
If this is a mixed enrollment course, how many
students will register as UMD CITS students?
1st section
2nd section
3rd section
4th section
Attention CITS teachers/administrators: Submit this form as an e-mail attachment to
bperushe@umn.edu or Fax the form to 218/726-6244. For questions, call Barb Perushek
at 218/726-6938.
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Request to Approve Textbook Form (page 2)
To be completed by the UMD CITS faculty liaison.
Place an “X” next to your decision.
Current textbook approved.
Proposed new textbook approved.
Required UMD textbook to be purchased (complete form below).
This textbook may be used for the next three years at the high school.
Required UMD Textbook
Author (s):
Title:
Publisher:
Publication year:
ISBN #:
Edition:
Approximate cost per copy: $
Special requirements:
Is an instructor’s edition available for review by UMD teaching specialist?
Yes
No
The following supplemental material(s) are also required.
1.
2.
3.
UMD CITS Faculty Liaison
Date
Faculty with an electronic signature can e-mail this form to: bperushe@umn.edu
or
Fax to:
218/726-6422
or
Mail to:
Barbara Perushek, Director, UMD CITS
Office for Students in Transition
42 Solon Campus Center
1117 University Drive
Duluth, MN 55812-3000
Questions: Contact Barb Perushek at 218/726-6938.
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