search_index: sfi.db/disclosures, 01d521fc511cd01d40b3f16fafc986a6c39a272885161cc40afbe98d9ee1140d
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| sfi.db/disclosures | 01d521fc511cd01d40b3f16fafc986a6c39a272885161cc40afbe98d9ee1140d | 2015/BraunEdward_(2).pdf | 2015-01-01T00:00:00 | 1 | Bridgewater State University STATE ETHICS COMMISSION DISCLOSURE FORM RECEIVEDMISSION STATE TO: Dana Mohler-Faria, President, Bridgewater State University 2015 JAN 14 AM 9:45 FROM: Professor BRAUN MAHPLS Department RE: Disclosure of Decision to Adopt Instructional Materials That I Have Authored/Published In compliance with the Massachusetts G.L.c.268A, §6, I disclose my intent to adopt the following: Semester: Fall Year: 2014 Day ( ) DGCE ( ) Non-credit check all that apply Course Number and Title: Course enrollment: 60 students in Z sections. Full description of materials (e.g. bibliographic entry for text, workbook, course-pack, CD, etc.): TEXTBOOK: Fundamentals of EASRECISE Physiology 5th Edition If this is a published work sold to students through a 3rd party such as the bookstore: Check all that apply I am the author ( ) I am the editor ( ) Other ( ) I am the co-author ( ) I am the co-editor From the sale of this material to my Bridgewater State University students, I anticipate that I will receive royalties in the amount of $ 500.- See Attached If you are the publisher of this work and are selling it directly to students: From the direct sale of this material to my Bridgewater State University students, I anticipate that I will receive income of $ of which $ is profit. In the event that you determine that this financial interest is sufficiently substantial to warrant assigning to someone else the decision about what course materials should be adopted for use in the course identified above, I agree to allow the Department Chair/Graduate Program Coordinator/Dean to make that decision in my stead. Road Been Signature of Faculty Member August Date 5, 2014 Determination of Bridgewater State University Appointing Authority ( ) I have reviewed this matter and determine that the faculty member's financial interest as disclosed above is not sufficiently substantial to warrant my assigning to someone else the decision about what course materials should be adopted for use in the course identified above. ( ) I have reviewed this matter and determine that the faculty member's financial interest is sufficiently substantial to warrant my assigning the decision in question to someone else. Therefore, in accordance with M.G.L.c.268A, §6, I assign that decision to the Department Chair/Graduate Program Coordinator/Dean (in the case of a department chair). 12/23/14 Dana Mohler-Faria, President Date August 5, 2014 The Text is designed specifically for this course. It combines both lecture and lab material. It is estimated that "about" 50 students will purchase the book. The Wholesale charge to the bookstore is $50 per book ($10 of which is profit). Total Profit: $ 500. @ 50 students X $ 10 $ 500 |