Code No. 605.3E3
SAMPLE LETTER TO INDIVIDUAL CHALLENGING INSTRUCTIONAL MATERIALS
Dear:
We recognize your concern about the use of ______________________________ in our school district. The school district has developed procedures for selection of instructional materials but realizes that not everyone will agree with every selection made.
To help you understand the selection process, we are sending copies of the school districts:
1. Instructional goals and objectives,
2. Instructional and Library Materials Selection policy statement, and
3. Procedure for reconsideration of instructional and library materials.
If you are still concerned after you review this material, please complete the Reconsideration of Instructional Materials request form and return it to me. You may be assured of prompt attention to your request. If I have not heard from you within one week, we will assume you no longer wish to file a formal complaint.
Sincerely,
Approved 9-13-93 Reviewed 6-5-13 Revised 7-25-2022
Code No. 605.3E4
REQUEST TO PROHIBIT A STUDENT FROM CHECKING OUT SPECIFIC LIBRARY MATERIALS
Request to prohibit a student from checking out certain library materials to be submitted to the superintendent. Please complete one form per student.
REQUEST INITIATED BY DATE ___________
Name ____________________________________________________________________________
Address __________________________________________________________________________
City/State _________________________
Zip Code__________________
Telephone_____________
Name of affected Student _____________________________________________________________
Requester’s Relationship to Student (must be parent/legal guardian)____________________________
BOOK OR OTHER PRINTED MATERIAL TO PROHIBIT STUDENT FROM CHECKING OUT:
Author ________________________________________
Hardcover ________
Paperback ________
Other __________
Title ____________________________________________________________________________
Publisher (if known) ________________________________________________________________
Date of Publication ___________
MULTIMEDIA MATERIAL TO PROHIBIT STUDENT FROM CHECKING OUT:
Title ____________________________________________________________________________
Producer (if known) ________________________________________________________________
Type of material (filmstrip, onlione resource, motion picture, etc.) _____________________________
Signature ________________________________________________
Date: ___________
Approved 7-25-2022 Reviewed Revised