Exhibit Descriptor Code: KNBA~E(2)
Complaints about Instructional Materials
INSTRUCTIONAL MEDIA
REQUEST FOR RECONSIDERATION OF
INSTRUCTIONAL MEDIA
School Principal
Type of Media Title of Media Copyright Date
(book, film,
recording)
Author/Editor/Artist/ Distributor/Producer/
Composer Publisher
What brought this material to your attention? (Review, lists, work of mouth, assignment? If a review or
list, be specific giving name of publication, issue, and page
2. Have you read, viewed, or listened to the entire item?
Is the item a part of a set or series?
If so, did you read, view, or listen to all of the set or series?
3. State specific objections to the material. (Use extra sheet, if necessary.
4. What do you consider to be the theme of this material?
5. What do you consider good about this material?
6. For what age group would you recommend this material?
7. Are you aware of the judgment of this material by critics?
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Exhibit Descriptor Code: KNBA~E(2)
Complaints about Instructional Materials
8. Do you object to what you know about the author or producer?
9. Do you think the author's or producer's experiences are reflected in this material?
If so, in what way?
10. What would you like the school to do about this material?
() Do not require it of students.
() Withdraw it from students under the age of____________________________________
() Place it on reserve status to be used only with written parental permission.
() Withdraw it from all students.
() Other
11. Other comments: (Use extra sheet if necessary.)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Name________________________________________________ Date___________________________
Address_____________________________________________ Telephone_______________________
Complainant represents:
______ Self
______ Name of Organization____________________________________________________
______ Identification of other group_______________________________________________
_______________________________________
Signature of Complainant
ISSUED: 09/11/2000
DEKALB COUNTY BOARD OF EDUCATION
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Legal References
- O.C.G.A. 20-01-0011 — Advocating for divisive concepts; prohibition on discrimination; practice of tolerance and mutual respect encouraged; complaint resolution policies; inspection of records; waivers prohibited (Lexis)
- O.C.G.A. 20-02-0324.6 — Complaint resolution policy for materials “harmful to minors" (Lexis)
- O.C.G.A. 20-02-1160 — Local boards to be tribunals to determine school law controversies; appeals; special provisions for disabled children (Lexis)
- Rule 160-4-4-.10 — Instructional Materials Selection and Recommendation
- Rule 160-4-4-.01 — Media Programs