Policy - IJJ-E

POLICY:  IJJ-E

EFFECTIVE DATE:  4/2/25

CANCELS SHEET DATED:  9/21/83, 3/2/83 (KLB), 10/3/18

REVIEWED BY POLICY COMMITTEE:  9/12/18, 2/12/25

CHALLENGE OF INSTRUCTIONAL MATERIALS FORM

Type of Material:   ____  Book   ____  Magazine/Periodical   ____ Film/DVD                                            ____Audio Recording ____ Software/Application (“App”)

Other (Please specify)  __________________

Author /Creator (if known)  _________________________________________________

Title  ___________________________________________________________________

Publisher (if known)  ______________________________________________________

Person making complaint:  __________________________________________________

Phone ________ Email ____________  Address ________________________________

Complainant represents: ___ Myself

                                             ___ Group/Organization  ____________________________                             

1.     To what portion of the material do you object?  (Please be specific, cite pages, scenes, etc.) ________________________________________________________

2.     What do you feel might be the negative result of reading/viewing/hearing this material?  __________________________________________________________

3.     For what age group would you recommend this material?  ___________________

4.     Is there anything good about this material? _______________________________

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

6.     Are you aware of the professional reviews/judgment of this material? __________

7.     What do you believe is the theme and/or intention of this material? ____________

8.     What would you like the school to do about this 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.

9.     In its place, what material would you recommend?   ________________________

         __________________________________________________________________

__________________________________                          _____________________

Signature of Complainant                                                       Date