Fillable EFSC Course Materials Adoption Form

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EFSC Course Materials Adoption Form

On average this form takes 14 minutes to complete

The EFSC Course Materials Adoption Form form is 2 pages long and contains:

  • 4 signatures
  • 24 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Eastern Florida State College

BROWSE EASTERN FLORIDA STATE COLLEGE FORMS

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1
Rvs. 2/2019
Course Materials Adoption Form
Required Course Materials Approval Tracking System (RCMATS)
Use this form to select educational materials (anything that has a cost to the student and/or is required for graded
assignments).
Course prefix: __________________
Course number: ________________
Effective Term Code
(year plus suffix: e.g., fall 2017 would be 201740): ________________
The materials are for a Special Project or approved Pilot Course (if applicable)
____ The number of semesters materials are to be used.
Is this a college-wide sequential or campus based non-sequential course? Choose one.
College-wide (sequential course) selection.
The Cluster has documented a vote on whether or not to approve this selection.
Campus based (non-sequential) selection.
The Cluster has documented a vote on whether or not to approve this selection
Select campus location:
Palm Bay Melbourne Cocoa Titusville eLearning
If this is a non-sequential general education course, check all that apply.
The materials differ from those used in other course sections.
The materials are comparable in cost to other selections.
The materials cover approved objectives and competencies.
A cost-benefit analysis must be conducted before proceeding.
A cost-benefit analysis has been documented.
If it has been less than 3 years since last adoption or addition, Administrative Liaison approval
is required.
It has been less than 3 years It has been 3 years or more
If less than 3 years, how does this selection differ from previous selection and what is the
educational value of changing to new edition?
Administrative Liaison: ________________________ Approval Date: _________
Open access textbooks and instructional materials have been evaluated.
A comparable open access textbook or instructional material must be evaluated and presented to the
Cluster for review before proceeding.
2
Rvs. 2/2019
Selected Material Information (fill in applicable fields only)
Title: _____________________________________________________________________
Author: ___________________________________________________________________
Publisher: _________________________________________________________________
Edition: __________________
ISBN, Stock Number, or URL: _________________________________________________
Format (hardcopy, e-book, open access source, etc.): _______________________________
Price: __________
Added to Covers All Competencies List or Partially Approved List.
All Partially Neither
Evaluated Open Access Textbook and Instructional Materials
(Reviewed only, not necessarily selected)
Title: ______________________________________________________________________
Author: ____________________________________________________________________
Publisher: __________________________________________________________________
Format (hardcopy, e-book, open access source, etc.): _______________________________
ISBN, Stock Number, or URL: _________________________________________________
Edition: __________________
Added to Covers All Competencies List or Partially Approved List.
All Partially Neither
(If required) The Educational Technology Advisory Committee (ETAC) has reviewed and
approved the selection. ETAC will be responsible for documenting its application,
including IT approval, FERPA compliance, and ADA compliance.
Coordination Signatures (only sign applicable fields)
_______________________________ ________________________________ __________________
Originator Electronic Signature Date
____________________________ _____________________________ _______________
Selection Committee Chair Electronic Signature Date
_______________________________ ________________________________ __________________
Cluster Chair Verif. Cluster Vote Electronic Signature Date
___________________________ ____________________________ ________________
Supervising Administrator Electronic Signature Date
(If required) The affected Department Chairs or Program Managers/Coordinators have
been notified by the Administrative Liaison’s office.
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EFSC Course Materials Adoption Form

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Completed 30 January 2020

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