REQUEST FOR RECONSIDERATION OF EXISTING \nINSTRUCTIONAL MATERIALS
\n \nThis form is only for use by district employees, district residents, or parents/guardians of students enrolled in a district school to challenge the content or use of any existing textbook, instructional material, supplemental instructional material, or other curriculum for classroom instruction, or any book or other resource in a school library. \n \nDate:____________________________________________________________________________________________________________ \n \nName of person filing complaint (Required): __________________________________________________________________ \n \nGroup represented (if any):_____________________________________________________________________________________ \n \nPhone:___________________________________________________________________________________________________________ \n \nE-mail address:__________________________________________________________________________________________________ \n \nAddress:_________________________________________________________________________________________________________ \n \nInstructional Material Being Challenged: \n \nTitle:_____________________________________________________________________________________________________________ \n \nAuthor:__________________________________________________________________________________________________________ \n \nPublisher:_______________________________________________________________________________________________________ \n \nDate of Edition:_________________________________________________________________________________________________ \n \nName of school/classroom instructional material was used:__________________________________________________\n\n\n\t
Please specifically state the nature of your concern or objection and identify your objection by page, website, webpage and/or link, recording or digital sequence, video frame, or words, as appropriate. You may use additional pages if necessary. \n\t \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t
\n\t
Was the instructional material of concern read/heard/viewed in isolation or was the entire selection read/heard/viewed? If the entire selection was not read/heard/viewed, what is your estimate regarding the percentage of the amount read/heard/viewed? \n\t \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t
\n\t
What is your concern regarding the consequence if a student reads/hears/views the instructional material? In your assessment, is the instructional material appropriate for the age of the students being taught? \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t
\n\t
What would you like the school to do about the instructional material? \n\t \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________ \n\t__________________________________________________________________________________________________________________________
\n\n \n___________________________________________________________________ \nSignature of complainant \n \nFor District Use: \n \nRequest received by:___________________________________________________________________ \n \nDate:___________________________________________________________________ \n \nTitle:___________________________________________________________________ \n \nAction taken:___________________________________________________________________ \n \nDate:___________________________________________________________________\n\n",
"contentText": "REQUEST FOR RECONSIDERATION OF EXISTING\n\nINSTRUCTIONAL MATERIALS\n\nThis form is only for use by district employees, district residents, or parents/guardians of students enrolled in a district school to challenge the content or use of any existing textbook, instructional material, supplemental instructional material, or other curriculum for classroom instruction, or any book or other resource in a school library.\n\nDate:____________________________________________________________________________________________________________\n\nName of person filing complaint (Required): __________________________________________________________________\n\nGroup represented (if any):_____________________________________________________________________________________\n\nPhone:___________________________________________________________________________________________________________\n\nE-mail address:__________________________________________________________________________________________________\n\nAddress:_________________________________________________________________________________________________________\n\nInstructional Material Being Challenged:\n\nTitle:_____________________________________________________________________________________________________________\n\nAuthor:__________________________________________________________________________________________________________\n\nPublisher:_______________________________________________________________________________________________________\n\nDate of Edition:_________________________________________________________________________________________________\n\nName of school/classroom instructional material was used:__________________________________________________\n\n- Please specifically state the nature of your concern or objection and identify your objection by page, website, webpage and/or link, recording or digital sequence, video frame, or words, as appropriate. You may use additional pages if necessary.\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n- Was the instructional material of concern read/heard/viewed in isolation or was the entire selection read/heard/viewed? If the entire selection was not read/heard/viewed, what is your estimate regarding the percentage of the amount read/heard/viewed?\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n- What is your concern regarding the consequence if a student reads/hears/views the instructional material? In your assessment, is the instructional material appropriate for the age of the students being taught?\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n- What would you like the school to do about the instructional material?\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n\t__________________________________________________________________________________________________________________________\n\n___________________________________________________________________\n\nSignature of complainant\n\nFor District Use:\n\nRequest received by:___________________________________________________________________\n\nDate:___________________________________________________________________\n\nTitle:___________________________________________________________________\n\nAction taken:___________________________________________________________________\n\nDate:___________________________________________________________________",
"footnotes": [
{
"type": "State",
"references": [
{
"code": "5 CCR 4600-4670",
"description": "Uniform complaint procedures",
"url": "https://govt.westlaw.com/calregs/Browse/Home/California/CaliforniaCodeofRegulations?guid=I344559C04C6911EC93A8000D3A7C4BC3&originationContext=documenttoc&transitionType=Default&contextData=(sc.Default)"
},
{
"code": "Ed. Code 1240",
"description": "County superintendent of schools; duties",
"url": "http://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1240.&lawCode=EDC"
},
{
"code": "Ed. Code 18111",
"description": "Exclusion of books by Governing board that are sectarian, partisan, or denominational character",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=18111."
},
{
"code": "Ed. Code 220",
"description": "Prohibition of discrimination",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=220."
},
{
"code": "Ed. Code 240-244",
"description": "Prohibition of discrimination; instructional materials",
"url": ""
},
{
"code": "Ed. Code 35010",
"description": "Control of district; prescription and enforcement of rules",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=35010."
},
{
"code": "Ed. Code 35160",
"description": "Powers and duties of school boards",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=35160."
},
{
"code": "Ed. Code 35186",
"description": "Williams uniform complaint procedures",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=35186."
},
{
"code": "Ed. Code 44805",
"description": "Teacher enforcement of course of studies; use of textbooks, rules and regulations",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=44805."
},
{
"code": "Ed. Code 48907",
"description": "Exercise of free expression; time, place, and manner rules and regulations",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=48907."
},
{
"code": "Ed. Code 48950",
"description": "Speech and other communication",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=48950."
},
{
"code": "Ed. Code 51204.5",
"description": "Social sciences instruction; contributions of specified groups",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=51204.5."
},
{
"code": "Ed. Code 51501",
"description": "Nondiscriminatory subject matter",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=51501."
},
{
"code": "Ed. Code 51511",
"description": "Religious matters properly included in courses of study",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=51511."
},
{
"code": "Ed. Code 51933",
"description": "Sexual health education and HIV prevention materials",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=51933."
},
{
"code": "Ed. Code 60000-60005",
"description": "Instructional materials; legislative intent",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=EDC&division=4.&title=2.&part=33.&chapter=1.&article=1."
},
{
"code": "Ed. Code 60040-60052",
"description": "Requirements for instructional materials",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=EDC&division=4.&title=2.&part=33.&chapter=1.&article=3."
},
{
"code": "Ed. Code 60119",
"description": "Public hearing on sufficiency of textbooks and instructional materials",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=EDC&division=4.&title=2.&part=33.&chapter=1.&article=7."
},
{
"code": "Ed. Code 60200-60213",
"description": "Elementary school materials",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=EDC&division=4.&title=2.&part=33.&chapter=2.&article=1."
},
{
"code": "Ed. Code 60226",
"description": "Requirements for publishers and manufacturers",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=EDC§ionNum=60226."
},
{
"code": "Ed. Code 60400-60411",
"description": "High school textbooks and instructional materials",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayexpandedbranch.xhtml?tocCode=EDC&division=4.&title=2.&part=33.&chapter=3.&article="
},
{
"code": "Ed. Code 60510-60511",
"description": "Donation or sale of obsolete instructional materials",
"url": "https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=EDC&division=4.&title=2.&part=33.&chapter=4.&article=1."
}
]
},
{
"type": "Management Resources",
"references": [
{
"code": "California Department of Education Publication",
"description": "Guidance for Local Instructional Materials Adoption, March 2024",
"url": "https://www.cde.ca.gov/ci/cr/cf/documents/glimacfird.docx"
},
{
"code": "California Department of Education Publication",
"description": "Instructional Materials, FAQ",
"url": "https://www.cde.ca.gov/ci/cr/cf/imfrpfaq1.asp"
},
{
"code": "California Department of Education Publication",
"description": "Standards for Evaluating Instructional Materials for Social Content, 2013",
"url": "https://www.cde.ca.gov/ci/cr/cf/documents/socialcontent2013.doc"
},
{
"code": "California Department of Justice Publication",
"description": "Guidance to School Officials re: Legal Requirements for Providing Inclusive Curricula and Books, Legal Alert, Jan. 2024",
"url": "https://oag.ca.gov/system/files/attachments/press-docs/Legal%20Alert%20Re%20Inclusive%20Curricula.1.9.24.1157CLEAN.pdf"
},
{
"code": "California School Boards Association Publication",
"description": "State Roles, Responsibilities, and Process for Instructional Materials Adoption, Feb. 2024",
"url": "https://www.csba.org/-/media/CSBA/Files/GovernanceResources/GovernanceBriefs/2024-REPD-_IM-StateRoles.ashx?la=en&rev=f00baf9bd1af4844b94f99135ca65588"
},
{
"code": "California School Boards Association Publication",
"description": "Instructional Materials Adoption: Local governing board responsibilities, Fact Sheet, Feb. 2024",
"url": "https://www.csba.org/-/media/CSBA/Files/GovernanceResources/ResearchPapers/FactSheet_IM-LocalRoles-REPD_07-2024-1-(1).ashx?la=en&rev=2641c67340e64dd8bd8603a5df03a138"
},
{
"code": "California School Boards Association Publication",
"description": "Instructional Materials Adoptions: State and local governing board processes, roles, and responsibilities, Feb. 2024",
"url": "https://www.csba.org/-/media/CSBA/Files/GovernanceResources/GovernanceBriefs/2024-REPD-instructional-materials-brief.ashx"
},
{
"code": "Website",
"description": "CSBA District and County Office of Education Legal Services",
"url": "https://legalservices.csba.org/"
},
{
"code": "Website",
"description": "Department of Justice",
"url": "https://oag.ca.gov/"
},
{
"code": "Website",
"description": "California Department of Education, Curriculum and Instruction Resources",
"url": "http://www.cde.ca.gov/ci"
},
{
"code": "Website",
"description": "CSBA",
"url": "http://www.csba.org"
},
{
"code": "Website",
"description": "U.S. Department of Education, Office for Civil Rights",
"url": "http://www2.ed.gov/ocr"
}
]
}
],
"crossRefs": [
{
"code": "0410",
"title": "Nondiscrimination In District Programs And Activities",
"type": "AR"
},
{
"code": "1100",
"title": "Communication With The Public",
"type": "AR"
},
{
"code": "1250",
"title": "Visitors/Outsiders",
"type": "AR"
},
{
"code": "1250",
"title": "Visitors/Outsiders",
"type": "AR"
},
{
"code": "1312.1",
"title": "Complaints Concerning District Employees",
"type": "AR"
},
{
"code": "1312.1",
"title": "Complaints Concerning District Employees",
"type": "AR"
},
{
"code": "1312.3",
"title": "Uniform Complaint Procedures",
"type": "AR"
},
{
"code": "1312.3",
"title": "Uniform Complaint Procedures",
"type": "AR"
},
{
"code": "1312.4",
"title": "Williams Uniform Complaint Procedures",
"type": "AR"
},
{
"code": "1312.4-E PDF(1)",
"title": "Williams Uniform Complaint Procedures",
"type": "AR"
},
{
"code": "1312.4-E(2)",
"title": "Williams Uniform Complaint Procedures",
"type": "AR"
},
{
"code": "5145.3",
"title": "Nondiscrimination/Harassment",
"type": "AR"
},
{
"code": "5145.3",
"title": "Nondiscrimination/Harassment",
"type": "AR"
},
{
"code": "6000",
"title": "Concepts And Roles",
"type": "AR"
},
{
"code": "6141",
"title": "Curriculum Development And Evaluation",
"type": "AR"
},
{
"code": "6142.6",
"title": "Visual And Performing Arts Education",
"type": "AR"
},
{
"code": "6142.92",
"title": "Mathematics Instruction",
"type": "AR"
},
{
"code": "6142.94",
"title": "History-Social Science Instruction",
"type": "AR"
},
{
"code": "6143",
"title": "Courses Of Study",
"type": "AR"
},
{
"code": "6143",
"title": "Courses Of Study",
"type": "AR"
},
{
"code": "6144",
"title": "Controversial Issues",
"type": "AR"
},
{
"code": "6144",
"title": "Controversial Issues",
"type": "AR"
},
{
"code": "6161.1",
"title": "Selection And Evaluation Of Instructional Materials",
"type": "AR"
},
{
"code": "6161.1",
"title": "Selection And Evaluation Of Instructional Materials",
"type": "AR"
},
{
"code": "6161.11",
"title": "Supplementary Instructional Materials",
"type": "AR"
},
{
"code": "6161.2",
"title": "Damaged Or Lost Instructional Materials",
"type": "AR"
},
{
"code": "6163.1",
"title": "Library Media Centers",
"type": "AR"
},
{
"code": "9000",
"title": "Role Of The Board",
"type": "AR"
},
{
"code": "9005",
"title": "Governance Standards",
"type": "AR"
},
{
"code": "9200",
"title": "Limits Of Board Member Authority",
"type": "AR"
},
{
"code": "9322",
"title": "Agenda/Meeting Materials",
"type": "AR"
}
],
"attachments": []
}