Section 7000 Instructional Program

7400-R Instructional Materials and Media Centers 7400-R-3 CITIZENS REQUEST FOR RECONSIDERATION OF CURRICULUM MATERIAL Book or other material Author (if known) Publisher (if known) Telephone City Complainant represents him/herself (Identify other group) 1. To what in the material do you object: (Please be specific; cite pages or items) Address State , Organization Zip Code

2.

What do you feel might be the result of using this material?

3. 4. 5. 6. 7. 8.

For what age group would you recommend this material? Is there anything good about this material? Did you read or view the entire material? What parts?

Are you aware of the judgment of this material by literary critics? What do you believe is the theme of this material? What would you like your school to do about this material? Do not assign it to my child. Withdraw it from all students as well as my child. Send it back to the curriculum committee for re-evaluation.

9.

In its place, what material of equal literary quality would you recommend that would convey as valuable a picture and perspective of our civilization?

Signature of Complainant ____________________________

Date ___________