Glenbard Township High School District 87
Policy 6:230-E1
Instruction
Exhibit – Request for Reconsideration of Library Resource Center Materials
The following questions are to be answered after the complainant has read, viewed, or listened to the
school library material in its entirety. If sufficient space is not provided, attach additional sheets.
(Please sign your name to each additional attachment.)
School:__________________________________________________________________________
Please check type of material:
( ) Book ( ) Film ( ) Record
( ) Periodical ( ) Filmstrip ( ) Kit
( ) Pamphlet ( ) Cassette ( ) Other
Title:_____________________________________________________________________________
Author:___________________________________________________________________________
Publisher or Producer:_______________________________________________________________
Request Initiated By:_________________________________________________________________
Representing:______________________________________________________________________
Telephone: Address:________________________________________________________________
City: State: Zip Code:________________________________________________________________
1. To what in the material do you object? (Please be specific, cite pages, frames in filmstrip,
film sequence, etc..)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
2. What do you believe is the theme or purpose of this material?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
3. What do you feel might be the result of a student using this material?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Signature of Complainant Date
DATED: March 1999
REVIEWED: January 17, 2006
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