EF(EXHIBIT) - INSTRUCTIONAL RESOURCES

See the following pages for forms relating to reconsideration of instructional resources:

EXHIBIT A

REQUEST FOR RECONSIDERATION OF INSTRUCTIONAL MATERIALS

Name: ______________________________________________ Date:

Address: _______________________________________________________________

City: ____________________________________ State: __________ Zip: ___________

Phone: ________________________________________________________________

Do you represent: (check one only)

Yourself?

An organization?

(If an organization, please identify: ______________________________________)

Resource on which you are commenting: (check one only)

Book

Magazine

Audio recording

Textbook

Library program

Newspaper

Video/DVD

Electronic information/network (please specify): ____________________________

Display

Other (please specify): ___________________________________________

Title: _______________________________________________________________

Author/Producer: ______________________________________________________

Have you reviewed the materials in their entirety? If not, please do so before completing and submitting this form.

To what in the material do you object? (Please be specific: cite pages, and the like)

___________________________________________________________________

What do you believe might be the result of using this material?

___________________________________________________________________

For what age group would you recommend this material?

___________________________________________________________________

In its place, what material of equal quality would you recommend that could be used to teach similar subject matter?

___________________________________________________________________

What do you believe should be done with the material in question?

Remove it from the curriculum.

Do not allow my child to use this material.

Use it as resource material or a choice selection.

Complainant's signature: ___________________________________

Date: ______________

EXHIBIT B

CHECKLIST FOR RECONSIDERATION OF INSTRUCTIONAL MATERIALS

Type of resource: ___________________________________________________________

Title: _____________________________________________________________________

Author/Producer: ___________________________________________________________

Purpose

What is the overall purpose of the material or resource?

_________________________________________________________________

Is the purpose accomplished?

? Yes

? No

Authenticity

Is the author or presenter competent and qualified in the field?

? Yes

? No

What is the reputation and significance of the author or publisher/producer in the field? _____________________________________________________________

Is the material or resource up-to-date?

? Yes

? No

Are information sources well documented either in the resource or in guides?

? Yes

? No

Are translations and interpretations faithful to the original?

? Yes

? No

Appropriateness

Does the resource promote the educational goals and objectives of the curriculum of District schools?

? Yes

? No

Is it appropriate for the level of instruction intended?

? Yes

? No

Are the illustrations appropriate for the subjects and age levels?

? Yes

? No

Content

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

? Yes

? No

Does it present information not otherwise available?

? Yes

? No

Does it give a dimension or direction that is new or different from others available for the subject?

? Yes

? No

Review/Evaluations

Source of review/evaluation: __________________________________________

Favorably reviewed

Unfavorably reviewed

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

? Yes

? No

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

_________________________________________________________________

_________________________________________________________________

Additional comments:

__________________________________________________________________________

__________________________________________________________________________

Recommendations by review committee for treatment of questioned resource:

__________________________________________________________________________

__________________________________________________________________________

Signatures of review committee:

_________________________________ _________________________________

_________________________________ _________________________________

Chairperson: _________________________________

Date: _______________________________________

Humble ISD

EF(EXHIBIT)-X

LDU 2017.05

DATE ISSUED: 5/31/2017