Garfield Re-2 Policies
KEC-E
Public Concerns/Complaints about Instructional Resources
(Citizen's Request for Reconsideration of Instructional Material)
School
Please check type of material:
( ) Book ( ) Film ( ) Record ( ) Computer
( ) Periodical ( ) Kit
( ) Pamphlet ( ) Other
Title
Author
Publisher or Producer
Request initiated by
Telephone _______________________Complainant represents:
(name of organization)
(identify other group)
The following questions are to be answered after the complainant has read, viewed, or listened to the material in its entirety. If sufficient space is not provided, attach additional sheets. (Please sign your name to each additional attachment.)
1. To what in the book do you object? (Please be specific; cite pages, frames in a filmstrip, film sequence, etc.)
2. What do you believe is the theme or purpose of this material?
3. What do you feel might be the result of a student using this material?
4. For what age group would you recommend this material?
5. Is there anything good about this material?
6. Did you read the entire book/view the entire film/listen to the entire cassette?
What parts?
7. Are you aware of the judgment of this material by literary/film/music critics?
8. What would you like the school to do about this material?
do not assign it to students withdraw it from use in the district refer it to an official committee for re-evaluatio
9. Would you care to recommend other material of the same subject and format?
Signature of complainant
Date
Please return the completed form to the school principal.
Reviewed April 23, 2019
Garfield School District No. Re-2, Rifle, Colorado
- K - School Community-Home Relations
