MSAD 15 BOARD OF DIRECTORS
APPROVED: 6/4/97
Individual filing the challenge:
NAME:_______________________________
SIGNATURE: _________________________
ADDRESS: _______________________________
DATE: _________________________
PHONE: _______________________________
Materials being challenged:
COPYRIGHTED MATERIALS
TITLE: _______________________________
AUTHOR: _______________________________
PUBLISHER: _______________________________
DATE: _______________________________
OTHER RESOURCES
TOPIC: _______________________________
DESCRIPTION: __________________________________________________________________
__________________________________________________________________
1. Specific passage or aspect being challenged
2. Exact nature of the objection and why
3. How this relates to the entire work