JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Centennial College Open Textbook Adoption Form for Fundamentals of Addiction – Trauma Informed, Solution Focused Counseling & Case Management
Please complete this form if you have or are planning to adopt the Drugs, Health, Addictions and Behaviour Textbook, published with support from Centennial College. If you'd like to use more than one chapters from the book, we request you submit the form.
If you prefer, you may send this information to Denise Halsey, via email:
dhalsey@my.centennialcollege.ca
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Institution:
*
Your answer
Optional: Email address
In case we'd like to follow up with you to get more information.
Your answer
I am adopting:
*
The whole book without doing any significant revisions (beyond minor grammatical or typo issues)
A few chapters
Half the book or more, but not the whole book
Other:
Required
I am creating a revised version (beyond minor revisions for typos, grammar, etc.)
Yes
No
Other:
Clear selection
If you are creating a revised version, please let us know if you are posting it publicly somewhere so we can link to it.
Your answer
Class to be used or considered for:
Your answer
Number of students per year (approximate)
Your answer
What text do you currently use in your course? (If none or several, please indicate below)
Your answer
Cost per student for current course materials (approximate)
Your answer
How did you hear about this open textbook?
*
From the authors
I was approached to be a reviewer
I was a reviewer
From a colleague at my institution
From a colleague at another institution
Via the Centennial College Community (newsletter, social media, etc.)
From other newsletter, listserv, or professional network (please specify below)
Option 8
Other:
I am (please check all that apply)
Using the open textbook in my class in the upcoming semester or academic year
Considering the open textbook for use in future classes
Interested in staying in the loop about the project and hearing about updates to the books
Interested in contributing to discussions about possible future improvements to one or more books
Other:
Submit
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
