I-H (FORM A),12/11/89
Author_____________________________________Title_____________________________________
Publisher (if known)___________________________________________________________________
Request initiated by________________________________________________________________
Street Address____________________________________________________________________
Complainant represents:
Himself
Organization
_____________________________________________________________
OtherGroup
1. If a book, did you read the entire book? (or view entire film?) If not, please do so before completing and submitting this form.
2. To what in the material do you object? (Please be specific; cite pages, filmstrips etc.) ___________________________________________________________________________________
3. What do you feel might be the result of using this material ___________________________________
____________________________________________________________________________________
4. For what age group would you recommend this material?___________________________________
5. Are there any good points about this material?____________________________________________
6. Are you aware of the judgment of this material by literary critics?______________________________
___________________________________________________________________________________
7. What do you believe is the theme of this material? _________________________________________ 8. In its place, what material of equal quality would you recommend that could convey as valuable a picture and perspective
of our civilization? _______________________ 9. What do you feel should be done with the material in question?
Remove it from the curriculum
Do not allow my child to use this material
Use as resource material or a choice selection