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IJJ-E challenge of instruction materials form

INSTRUCTIONAL AND LIBRARY-MEDIA MATERIALS CHALLENGE FORM

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: ___ Himself/herself/themself ___ Organization ________________________ ___ Other group ________________________

  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

Checklist for Reconsideration of Materials

Purpose:

What is the overall purpose of the material?

Is this purpose accomplished?

Does the material promote the educational goals and mission of RSU 1?

Authenticity:

Is the author competent and qualified in the field?

What is the reputation and significance of the author and publisher?

Are information sources well documented?

Are translations and retellings faithful to the original?

Content:

Is the content of this material well presented by providing adequate scope, range, depth and continuity?

Does this material present information not otherwise available?

Are the illustrations appropriate to the subject and age levels?

Reviews:

Reputable review sources include: School Library Journal, Hornbook, Kirkus Reviews, VOYA, Booklist and Library Media Connection.

  1. Source of Review:

    Favorably reviewed? Unfavorably reviewed?

  2. Does this title appear in one or more reputable selection aids?

If the answer is yes, please list titles of selection aids.

  1. Source of Second Review: Favorably reviewed? Unfavorably reviewed?

  2. Does this title appear in one or more reputable selection aids?

If the answer is yes, please list titles of selection aids.