MATH INSTRUCTIONAL MATERIALS REVIEW OBJECTION FORM

NOTICE: Items with (*) are required fields and must be filled in.

1. Objection initiated by: *

Parent / Guardian
Community Member

2. First Name: *

3. Last Name: *

4. Address: *

5. City: *

6. State: *

7. Zip Code: *

8. Telephone: *

- -

9. Email Address: *

10. I understand parents or community members with objections based on errors or a belief there is bias within these materials must submit these objections on this form. Objection forms must include the name of the textbook with page numbers. Only those objections containing specific page number referents for contested material/content will be accepted. *

Yes, I understand the above statement.

Textbook Objection #1

Topic / Textbook: *

Specfic Page Number or Numbers: *

Objection Based On: *

Bias
Error

Explain your objection with specificity: *

Add Another Textbook Objection

All objections are due by 4:00 p.m, Thursday, March 7, 2019. Parents or community members submitting completed objection forms will be contacted with the hearing date, time, location and format at least ten days prior to the hearing date. If you have questions, please contact Julie Lorenzo, Instructional Materials Manager at lorenzju@collierschools.com

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