REVIEWER/PROPOSAL INFORMATION FORM

A large part of ensuring that we will publish excellent educational materials depends on what the teaching professional thinks. If you would like to help us help you by becoming a reviewer, or, if you are considering Houghton Mifflin as a publisher please complete and submit the form below. Also see our Guidelines for submitting proposals.

First Name:

Last Name:

School:

Department:

Office Phone:

Home Phone: (optional)

Email:

Mailing Address:

City:

State: Zip:

May we contact you at home? Yes No

Undergraduate degree From/Year:

Ph.D. From/Year:

How long have been teaching?:

Your Courses (Within the past two years starting with the most recent):

	Course	Annual Enrollment	Level*	Text In Use	Texts Previously Used
1.
2.
3.
4.
5.
6.

*Level=Fr, Sph, Jr, Sr, MBA

Reviewing/Textbook Interests

Are you an author or do you plan to author a textbook?

(please elaborate)

Area(s) of reviewing/writing interest:

Are you interested creating ancillary material ? Yes No

If so, which ancillaries are you interested in?

Study Guide	Test Bank	Instructor's Resource Manual
Internet Site	Working Papers/Cases/Reader	Multimedia

Copyright Houghton Mifflin Company. All Rights Reserved.
Terms and Conditions of Use and Trademark Information