630E2 - Reconsideration of Instructional Materials

630E2 - Reconsideration of Instructional Materials

 

EDUCATIONAL PROGRAM

Series 600

Policy Title:           Reconsideration of Instructional Materials                            Code No.:  630E2 

 

RECONSIDERATION OF INSTRUCTIONAL AND MEDIA CENTER MATERIALS REQUEST FORM

 

Request for re-evaluation of printed or multimedia material to be submitted to the superintendent.

 

REVIEW INITIATED BY: DATE: __________________

 

Name _________________________________________________________________________

 

Address _______________________________________________________________________

 

City/State ________________________________ Zip Code _______ Telephone _____________

 

School(s) in which item is used _____________________________________________________

 

Relationship to school (parent, student, citizen, etc.) _____________________________________

 

BOOK OR OTHER PRINTED MATERIAL IF APPLICABLE:

 

Author _________________________ Hardcover_______Paperback______Other______________

 

Title ____________________________________________________________________________

 

Publisher (if known) ________________________________________________________________

 

Date of Publication _________________________________________________________________

 

MULTIMEDIA MATERIAL IF APPLICABLE:

 

Title _____________________________________________________________________________

 

Producer (if known) _________________________________________________________________

 

Type of material (website, online resource, filmstrip, motion picture, etc.) __________________________________________________________________________________

 

PERSON MAKING THE REQUEST REPRESENTS(circle one)

 

Self Group or Organization

 

Name of group _____________________________________________________________________

 

Address of Group___________________________________________________________________

 

 

RECONSIDERATION OF INSTRUCTIONAL AND MEDIA CENTER MATERIALS REQUEST FORM

 

 

1. What brought this item to your attention?

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

2. To what in the item do you object? (please be specific; cite pages, or frames, etc.)

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

3. In your opinion, what harmful effects upon students might result from use of this item?

_________________________________________________________________________________

 

_________________________________________________________________________________

 

4. Do you perceive any instructional value in the use of this item?

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

5. Did you review the entire item? If not, what sections did you review?

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

6. Should the opinion of any additional experts in the field be considered?

 

______yes ______no

 

If yes, please list specific suggestions:

_________________________________________________________________________________

 

_________________________________________________________________________________

 

7. To replace this item, do you recommend other material which you consider to be of equal or superior quality for the purpose intended?

 

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

 

RECONSIDERATION OF INSTRUCTIONAL AND MEDIA CENTER MATERIALS REQUEST FORM

 

 

 

8. Do you wish to make an oral presentation to the Review Committee?

 

______Yes (a) Please contact the Superintendent

 

(b) Please be prepared at this time to indicate the approximate length of time your presentation will require. Although this is no guarantee that you'll be allowed to present to the committee, or that you will get your requested amount of time.

 

_________Minutes.

 

______No

 

 

Dated_____________________ Signature ____________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adoption/Review/Revision

November 2022

 

 

 

 

 

 

 

 

 

 

 

Jen@iowaschool… Sun, 11/10/2019 - 17:49