- K
- School-Community Relations
File: KEC-E1 (pdf)
Revised: January 15, 2014
COMPLAINT ABOUT CURRICULUM OR INSTRUCTION
Boulder Valley School District recognizes the right of all residents of the district and students who attend district schools and their parents, to present complaints or concerns directly related to the curriculum, instructional materials, instructional strategies, and educational activities in the schools. This form provides a format with information necessary for initiating such a complaint.
PLEASE FEEL FREE TO ATTACH PAGES AS NEEDED.
Type of Materials:
_____ Curriculum
_____ Instructional Material
_____ Instructional Strategy
_____ Educational Activity
_____ Other: __________________________________________________________________________________________
(specify type)
Author: ______________________________________________ Title: ____________________________________________
Publisher (if known): _________________________________ Copyright/Edition:_____________________________________
Other Description: ______________________________________________________________________________________
Name of Individual Filing Compaint: ________________________________________________________________________
Request by: ____ Parent/Guardian ____ Resident of the District ____ Student
Address: _____________________________________________________________________________________________
City: _______________________________________ State: _______________ Zip Code:_____________________________
Telephone: ____________________________________
School where curriculum, instructional material, instructional strategy, or educational activity is used or located:
______________________________________________________________________________________________________
1. Did you read/view listen to/interact with the entire item? ___________ If not, what parts have you read, viewed, listened to, or interacted with?_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
2. To what do you object? (please be specific: cite pages, passages, references)
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
3. What do you believe is the central theme of the material?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
4. In this material, what needs to be balanced by other information? (Please be specific: cite pages, passages, references)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
5. What material would counterbalance the point of view of this material?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
6. For what age group would you recommend this material?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
7. In its place, what materials, if any, would you recommend?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
_________________________________________ __________________________
Signature Date
End of File: KEC E1