KLB-E - Learning Resources

File: KLB-E

 

 

BUENA VISTA CITY SCHOOL DIVISION

REQUEST FOR RECONSIDERATION OF LEARNING RESOURCES

 

 

 


Request By:  _______________________                    

 

Representing:           ____   Myself

                         ____  Organization or Group (please identify) ____________________

                                                                       

Address:  _____________________________________________________________

                       

Telephone:    _______________________

 

Title or Description of Item:  ___________________________________________

 

Author or Editor:  ______________________    

 

Type of Material (book / film / record / speaker / software / other (specify))   _________

 

 

1.         Did you examine, review, or listen to this learning resource or presentation in its entirety?

                          YES                       NO

 

2.         Have you been able to discuss this material with school staff who ordered it or who use it?

                          YES                       NO

 

3.         Are you aware of the judgment of this material by professional critics?

                         YES                        NO

 

            If no, would you be interested in receiving this information?

                          YES                      NO

 

4.         Describe what prompted your concern about the material.  Please cite page numbers and/or specific information from the material to support your concerns (attach additional material, if necessary).

 

5.         Does the general purpose for the use of the material, as described by the school staff or in the BUENA VISTA CITY School Division’s program objectives, seem a suitable one for you?

                          YES                       NO

 

If not, please explain (attach additional material, if necessary)

 

 

 

 

 

 

 

 

 

 

 

 


6.         What action[s] would you like to see the school take regarding this material?

 

              Do not assign it to my child        The school should reevaluate the material

 

              Other--Explain 

           

           

 

 

7.         Are there other materials of the same subject and format that you would suggest for consideration in place of this material?  YES    NO

 

            If yes, please identify your suggestions.

 

 

 

 

 

 

 

 

 

 

 


Signature ______________________________                      Date ____________

 

RETURN COMPLETED FORM TO SCHOOL PRINCIPAL

 

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