Citizen’s Request for Reconsideration of Educational Media

The Newport News School Board has delegated the responsibility for selection and evaluation of library and other school media materials to the school library media specialists, and has established reconsideration procedures to address concerns about those resources.
Completing this form is the first step in those procedures.

Please refer to School Board Policy IJL and IJL-P for more information.

Who is submitting this form?

First Name

Last Name

Phone

Address

City

State

Zip Code

Do you represent self or organization? Self Organization

Organization Name

Resource Information:

Resource Type:
Book
Video / DVD
Display
Magazine
Library Program
Newspaper
Audio Recording
Electronic Information (Please specify):
Other:

Resource Location:

Resource Title:

Resource Author:

Comments and Concerns:

What brought this resource to your attention?

What concerns you about the resource (please cite page numbers, paragraphs, segments)?

Is there another age group for whom you feel this item would be appropriate? Yes No

If so, which age group?

Did you read / view / listen to the entire item? Yes No

If so, please provide page numbers, paragraphs, and examples of content in question.

Can you suggest other resources to provide additional information or other viewpoints on this topic?

Signature of Complainant (enter full name)