605.3E2 - Reconsideration of Instructional Materials & Library Material Request Form
605.3E2 - Reconsideration of Instructional Materials & Library Material Request FormCODE NO. 605.3-E2
RECONSIDERATIOIN OF INSTRUCTIONAL AND LIBRARY MATERIAL REQUEST FORM
Request for re-evaluation of printed or multimedia material to be submitted to the superintendent.
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REVIEW INITIATED BY: |
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DATE: |
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Name |
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Address |
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City/State |
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Zip Code |
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Telephone |
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School(s) in which item is used |
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Relationship to school (parent, student, citizen, etc.) |
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BOOK OR OTHER PRINTED MATERIAL IF APPLICABLE: |
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Author |
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Hardcover |
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Paperback |
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Other |
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Title |
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Publisher (if known) |
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Date of Publication |
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MULTIMEDIA MATERIAL IF APPLICABLE: |
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Title |
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Producer (if known) |
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Type of material (website, online resource, filmstrip, motion picture, etc.) |
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PERSON MAKING THE REQUEST REPRESENTS: (circle one) |
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Self |
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Group or Organization |
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Name of group |
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Address of Group |
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8. |
Do you wish to make an oral presentation to the Review Committee? |
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Yes |
(a) Please contact the Superintendent |
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Minutes. |
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No |
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Dated |
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Signature |
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Adopted: 03/03/1986
Reviewed: 11/21/2022
Revised: 11/21/2022
605.3E3- Sample Letter to Individual Challenging Instructional or Library Materials
605.3E3- Sample Letter to Individual Challenging Instructional or Library MaterialsCode No. 605.3E3
SAMPLE LETTER TO INDIVIDUAL CHALLENGING INSTRUCTIONAL OR LIBRARY MATERIALS
Dear:
We recognize your concern about the use of in our school district. The school district has developed procedures for selection of instructional materials but realizes that not everyone will agree with every selection made.
To help you understand the selection process, we are sending copies of the school district's:
1. Instructional goals and objectives,
2. Instructional and Library Materials Selection policy statement, and
3. Procedure for reconsideration of instructional and library materials.
If you are still concerned after you review this material, please complete the Reconsideration Request Form and return it to me. You may be assured of prompt attention to your request. If I have not heard from you within one week, we will assume you no longer wish to file a formal complaint.
Sincerely,
Approved: 11/21/2022
Reviewed:
Revised: