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PCCUA Textbook Adoption Form
* Please include all course materials including lab kits, access codes, etc. to the adoption form.
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Email
*
Your email
Division
*
Allied Health
Applied Technology
Business and Information Systems
Helena Arts and Sciences
AR County Arts and Sciences
Instructor Name
*
Your answer
Semester/Year
*
Choose
Summer 2021
Fall 2021
Spring 2022
Summer 2022
Fall 2022
Campus
*
Choose
Helena
DeWitt
Stuttgart
PC Net
Course Title
*
Your answer
Textbook Title
*
Your answer
First Author Listed
*
Your answer
Textbook Edition
*
Your answer
ISBN
*
Your answer
Number of copies needed
*
Your answer
Does this course require an Access Code?
*
Yes
No
Textbook Title (if 2nd text is required)
Your answer
First Author Listed (if 2nd text is required)
Your answer
ISBN (if 2nd text is required)
Your answer
Textbook Edition (if 2nd text is required)
Your answer
Please list any additional supplies required and the cost of those supplies.
Your answer
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