Reconsideration Initiation Form

/ Reconsideration Initiation Form

Please complete the form only after a media review has been completed.

Reconsideration Initiation

This form is needed to initiate the media reconsideration process.

Name(Required)

First Last

Email(Required)

This email is used to communicate results with the requestor.

Phone

School(Required)

Media Title(Required)

Media Author

This is a series

Yes

Other

Grade Level(Required)

Elementary

Secondary

Have you read the entire book/material?(Required)

Yes

Is there anything you like about this material?(Required)

What is objectionable about this material?(Required)

Graphic and gratuitous violence

Graphic and gratuitous sexual content

Graphic and gratuitous expletives

Graphic and gratuitous hate speech

Enter the destination URL

URL

Link Text

Open link in a new tab

Or link to existing content

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