Professor Requisition short-form

Online Course Book Information Request Form
(Important: Please do NOT click on your browser's "back" button.
Doing so will clear the information you've entered on this page.)

Step 1: Select your term from the following pull-down menu.

Note: This is a required field. In order to submit this form, you must be sure to select the appropriate term:

REQUIRED ==> term.

Do you need more room?

If you have more than 5 course books that you would like to add to this course,
please continue on our extended course entry form. Access our extended form

Step 2: Enter Your Course Information

Note: The following 4 fields regarding course information must be completed. If one or more of these questions doesn't apply to your particular course, please type the number "0" in the field provided.

Department: (Required)
Course Number: (Required) Please be sure to enter 4 digits such as 0400, 1200, etc...
CLS: (Required) Please be sure to enter 5 digits such as 00152, 01200, etc...
Course Title: (Required)
Estimated Enrollment: (Required)
Are any of the titles below authored by a University of Pittsburgh Faculty Member?: (Required)
If "YES", which title? (Required)

Step 3: Enter Your Textbook Information

Book #	Author or Editor	Title	Publisher	Edition or Copyright Date	ISBN	Required or Recommended
1
2
3
4
5

Step 4: List Any Other Required Materials

Item #	Manufacturer	Model or Version Number	Item Description	Required or Recommended
1
2

Step 5: Do we need to know anything else?

Department: (Required)
Approved by Instructor (Name): (Required)
Instructor E-mail:
Instructor Phone:
Instructor Campus Address:

Submitted By: (Required)
Phone:
E-mail: (Required)
Comments:

Is everything correct?

If you're happy with your entry, choose submit to send us your textbook adoption information.

Otherwise choose "clear this form" to re-enter all course book information.

A copy of this form will be emailed to the email you provided above