Section 4

Appendices

Appendix E

MATERIALS EVALUATION COMMITTEE REPORT
(Attach extra pages if needed to complete statements)

Bibliographic description of challenged material:

Author, Editor, Artist, etc.  ____________________________________________________________
Title:   ______________________________________________________________________________
City of Publication:  __________________________________________________________________
Publisher:   __________________________________________________________________________
Copyright:   _________________________________________________________________________

Justification for inclusion of material: (Include theme and purpose.)

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Critics judgment of material: (If possible include copies of reviews indicating the source.)

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Materials Evaluation Committee's decision and comments:
(Include statements from majority and minority positions.)

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Copies sent to: _______________________________________________________________________
                           _______________________________________________________________________

Signatures of Committee Members:                                                     Date:

______________________________________________________        ________________

______________________________________________________        ________________

______________________________________________________        ________________

______________________________________________________        ________________

______________________________________________________        ________________

______________________________________________________        ________________

Superintendent________________________________________         ________________

Administrative Supervisor______________________________         ________________

Complainant__________________________________________         ________________