Coursepack Request Form

Please correct the field(s) marked in red below:

Please fill out the form below or downloaded and fill out in Word or with ink.

For general copyright or coursepack assistance, please contact:

Rowena McKernan, MLIS
Copyright & Open Educational Resources Librarian
x3954, HNR 201E

 

Also - please fill out a "Course Material Adoption Form" (if you haven't done so already) for the Bookstore.

1
Course Number & Section
2
Course Title
3
Instructor Name
4
Phone number
5

Is this print coursepack required or optional? 

Please choose optional if all material is freely available online or through library databases. If you are unsure contact Rowena.

Is this print coursepack required or optional? Please choose optional if all material is freely available online or through library databases. If you are unsure contact Rowena.

6
If you've used this coursepack previously please indicate which quarter it was last used in. 
7

List your materials here

If reusing the same material, please indicate below. 

If changes are required or this is a new coursepack please list material here, upload a file or email a list to Rowena

Keep these dates in mind (two weeks grace if using Open Educational Resources or public domain materials):

Summer: May 30th

Fall: July 30th

Winter: November 10th

Spring: February 28th 

  

After these dates we can still produce a coursepack but cannot guarantee placement in bookstore by the start of the quarter.

List your materials here If reusing the same material, please indicate below. If changes are required or this is a new coursepack please list material here, upload a file or email a list to Rowena. Keep these dates in mind (two weeks grace if using Open Educational Resources or public domain materials): Summer: May 30th Fall: July 30th Winter: November 10th Spring: February 28th After these dates we can still produce a coursepack but cannot guarantee placement in bookstore by the start of the quarter.

8
How do you want your pages printed?
How do you want your pages printed?
9
Do you need a heavier weight cover?
Do you need a heavier weight cover?
10
What color cover?
11
Do you need colored section dividers?
Do you need colored section dividers?
12
If yes, what color?
13
How do you want your coursepack bound and finished?
How do you want your coursepack bound and finished?
14

Do you need an instructor copy this quarter?

If you choose Yes, then the associated cost will passed on to students

If you choose No, any subsequent requests for a copy will require a 'College General Form'

For multiple copies, indicate number below.

 *
Do you need an instructor copy this quarter? If you choose Yes, then the associated cost will passed on to students If you choose No, any subsequent requests for a copy will require a 'College General Form' For multiple copies, indicate number below.
15

If you need multiple instructor copies how many? [Cost passed on to students]


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