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IJJ - E - CITIZEN’S CHALLENGE TO EDUCATIONAL MEDIA

  • Section I: Instruction

IJJ-E - CITIZEN’S CHALLENGE TO EDUCATIONAL MEDIA

 

(Refer to School Board Policy IJJ)

 

Type of Material:   ____  Book ____  Magazine/Periodical ____ Film ____ Recording

    ____  Software ____ Other (Please specify)___________________________________________

 

Author (if known): ___________________________________________________________________________________

Title: ______________________________________________________________________________________________

Publisher (if known): _________________________________________________________________________________

Person making complaint: _____________________________________________________________________________

Telephone ________________ Street Address ____________________________________ Town____________________

Complainant represents: ⃞  Him/herself

⃞  Organization  ________________________

⃞  Other group   ________________________

 

  1. Why do you object to this material?

       ____________________________________________________________________________________________

 

  1. Identify any particular sections to which you object. (Please be specific, cite pages, scenes, etc.)

       ____________________________________________________________________________________________

 

  1. What are the positive aspect of this material?

       ____________________________________________________________________________________________

 

  1. Did you read/view/hear all of the material? ________ If not, what parts did you read/view/ hear? ____________________________________________________________________________________________

 

  1. Please identify any professional reviews/judgements of this material you have read.

       ____________________________________________________________________________________________  

 

  1. What would you like the school to do about this material?

  • ⃞⃞   Restrict use of the material Do not assign it to my child.
  • ⃞⃞   Do not assign it to any students.
  • ⃞⃞   Withdraw it from the library and/or instructional program.
  • ⃞⃞   Refer it to the Educational Media Review Committee for evaluation.

 

  1. In its place, what material would you recommend? _____________________________________________________

_______________________________________________________________________________________________

 

__________________________________________ ______________________

Signature of Complainant                                                    Date

 

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