IJLA-E_Citizen's Request for Reconsideration of a Book or Other Material
Code: IJLA-E
CITIZEN'S REQUEST FOR RECONSIDERATION
OF A BOOK OR OTHER MATERIAL
PLEASE ANSWER ALL THE QUESTIONS. USE REVERSE SIDE IF NECESSARY.
Title of Book, Film, Article, Etc. ______________________________
Author___________________ Hardcover___________ Paperback_________
Request initiated by__________________________ Date______________
Address__________________________________ Telephone______________
Complainant represents:
________ Himself
________ Name of Organization
________ (Identify Other Group)
To what in the material do you object? (Please be specific -- cite pages).
What do you feel might be the result of exposure to this material?
For what age group would you recommend this material? ___________
Is there anything good about this material?____________________________________
Have you inspected all the material?_______
Did you read the entire book? ______________________________________________________________________
Did you view the entire film? _______________________________________________
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 student.
____ Withdraw it from all students as well as from my student.
____ Have its place within the curriculum reviewed.
In its place, what material of equal literary or scholarly value would you recommend? ____________________________________________
RETURN COMPLETED FORM TO:
Superintendent of Schools Signed
__________________________ _____________________________
Adoption Date: 9/19/17