FALL 2017 TEXTBOOK REQUISITIONS

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

PLEASE FILL OUT THE FORM BELOW FOR EACH COURSE. YOU MAY GROUP SECTIONS TOGETHER IF THE TEXT WILL BE THE SAME FOR ALL GROUPED SECTIONS.

FOR EXAMPLE:
YOU MAY FILL OUT A FORM FOR POLIT 100 AND GROUP TOGETHER SECTIONS 01-05, 70ON, ETC.
A SEPARATE FORM MUST BE SUBMITTED FOR POLIT 110 AND/OR 110H.

NOTE: IF EACH OF YOUR SECTIONS REQUIRE A DIFFERENT BOOK, YOU WILL NEED TO SUBMIT A NEW FORM FOR EACH SECTION.

IF YOU HAVE ANY QUESTIONS OR COMMENTS PLEASE CONTACT:
DOLORES LOPEZ
OFFICE: (909)384-8686
EMAIL: DLOPEZ@VALLEYCOLLEGE.EDU

INSTRUCTOR INFORMATION

FIRST NAME *

LAST NAME *

PREFERRED EMAIL *

CONTACT NUMBER OR EXTENSION *

COURSE INFORMATION

Please note that the Course Number and Reference Number are not interchangeable. The Course Number will be the three digit number after the Department Code.
EXAMPLE: POLIT "110" or "110H"

PLEASE LIST ALL SECTION NUMBERS THIS COURSE. SEPARATE EACH SECTION WITH A COMMA.
EXAMPLE: 01,02,70ON

DEPARTMENT *

COURSE NUMBER *

SECTION NUMBER(S) *

SESSION INFORMATION

COURSE START DATE *

YYYY

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms