Littleton Public Schools Exhibit

Policy Code    KEF-E Policy Name    Public Concerns/Complaints About                                  Teaching Activities or Presentations                                  January 5, 1993

If revised, also revise b\eforms\kef-e

Citizen’s Challenge or Objection to

Teaching Activities or Presentations

School

Class, subject, or activity

Teacher(s) involved

Request initiated by

Telephone ____________________                                                                                                    Address

Complainant represents:    q           himself/herself

q           (name of organization)

q           (identify other group)

The following questions are to be answered by the complainant. If sufficient space is not provided, attach additional sheets. (Please sign your name to each additional attachment.)

1.   What are the specifics of your challenge and/or objection? (List all specific objections and/or challenges.)

2.   Give specific examples related to your objection and/or challenge.

3.   When and how did this situation come to your attention?

4.   How do you perceive this situation impacting students?

5.   What are the positive aspects of this situation?

6.   Are you aware of any research and/or professional review of this presentation or activity? Please list specific references with your comments.

7.   What specific action are you requesting?

8.   Please list any other information that will help in understanding and/or resolving this situation.

                                                                                     Signature of Complainant

                                                                                     Date

Please return completed form to the school principal.