Textbook and Course Materials Policy
McNEESE STATE UNIVERSITY
Custom Textbook Approval Routing Sheet
(PLEASE PRINT)
Custom Textbook Name: _________________________________________________________________
Author’s Name: _________________________________________________________________
Edition and/or Copyright: _________________________________________________________________
Publisher: _________________________________________________________________
Book order deadline date: _________________________________________________________________
ISBN (if available): _________________________________________________________________
Course Name:
Course #: (Abbr. /No.) _________________________________________________________________
Effective Date of Use:
Required Use: Required Supplemental
Number of Units Needed: Year Semester
University Account into which book royalties are anticipated to be deposited:
Account Name:________________________________________________ Account Number:______________
NOTE: The publishing contract for the above referenced custom textbook should be attached to this routing sheet. This routing sheet
should be fully completed and approved in appropriate order.
I certify, as the AUTHOR of the above Work, that the Work is original except for material
in the public domain and such excerpts from other works as may be included in the written
permission of the copyright owners; that the Work does not contain any libelous or
obscene material or injurious formulas, recipes, or instructions; that the Work does not infringe
any trade name, trademark, or copyright; and that the Work does not invade or violate any right
or privacy, personal or proprietary right, or other common law or statutory right.
I further certify that the Work has been created in accordance with the McNeese Textbook ______ ______
and Course Material Policy (amended 05/07/2012) and with Louisiana Ethics Laws. Initials Date
I, as DEPARTMENT HEAD, certify that the Work has been adopted in accordance with the
McNeese Textbook and Course Material Policy (amended 05/07/2012). I approve the University Initials Date
contracting the above custom textbook for use in the classroom.
I, as DEAN of the College of ______________, certify that the Work has been adopted in
accordance with the McNeese Textbook and Course Material Policy (amended 05/07/2012). Initials Date
I approve of the University contracting the above custom textbook for its use in the classroom
I, as VICE PRESIDENT OF ACADEMIC AND STUDENT AFFAIRS, approve of the
above custom textbook to be used in the classroom. Initials Date
DIRECTOR OF PURCHASING has reviewed and amended as appropriate this contract for ______ ______
compliance with Institutional policies and State regulations. Initials Date
VICE PRESIDENT OF BUSINESS AFFAIRS has reviewed and signed the contract
and has mailed the contract to the publisher for signature. Initials Date
OFFICE OF BUSINESS AFFAIRS has received the fully executed contract from
the Publisher and has distributed copies of the contract to the following departments: Initials Date
UNIVERSITY BOOKSTORE MANAGER ADMINISTRATIVE ACCOUNTING
ACADEMIC DEPARTMENT HEAD OFFICE OF PURCHASING
