AUBURN SCHOOL DISTRICT NO. 408



Basic Instructional Materials Request

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(Must include Evaluation of Basic Materials form for a minimum of two texts.)

SCHOOL DEPARTMENT OR COMMITTEE SUBMITTING REQUEST:

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List names of persons who evaluated this material:

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This request for basic instructional materials must be accompanied with a curriculum framework outlining, at a minimum, units of instruction, Essential Academic Learning Requirements and/or Grade Level Expectations, assessments, and thinking skills. A curriculum framework document is included in the Curriculum Framework section of this handbook.

|1. REQUESTED MATERIAL |

|Type of material being requested: | Book | Software | CD/DVD | Online/Web Resources | Other |

|Title |      |Copyright |      |

|Author |      |Publisher |      |ISBN |      |

|Range of readability levels |      |Average readability level |      |

|2. COURSE INFORMATION |

|Subject in which requested material will be used: |      |

|Grade level(s) for which this material is being requested: |      |

|3. COST ANALYSIS |

|First year cost per student |      |Number of students to use material |      |

|Cost per student to maintain on yearly basis |      |

|Other costs (specify) |      |

|Total cost of adoption for: |Building |      |District |      |

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Basic Instructional Materials Request

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PROGRAM GOALS. The requested basic instructional materials are consistent with district, building, department, and/or course goals including:

|Criteria |Yes |No |N/A |

|1. Consistency with district and program mission, vision, goals and objectives | | | |

|2. Align with state- and district-defined Essential Academic Learning Requirements and/or Grade Level Expectations | | | |

|3. Further the systematic and sequence of the program across K-12 | | | |

DISTRICT AND COMMUNITY STANDARDS. The requested basic instructional materials are consistent with district and community standards including:

|Criteria |Yes |No |N/A |

|Provides teachers guidelines to: | | | |

|1. Present differing viewpoints of controversial issues in order for students to develop the skills of critical | | | |

|analysis and informed decision making. | | | |

|2. Promote the diverse character of our world by: | | | |

|a. Presenting cultural and ethnic differences. | | | |

|b. Using language and examples which treat all human beings with respect and dignity. | | | |

|c. Helping students understand and accept the diversity in the heritage and culture of our nation’s people. | | | |

|d. Recognizing various types of family structures. | | | |

|e. Recognizing differing socioeconomic levels. | | | |

|Recognizing differences in minorities and gender. | | | |

|Representing occupational diversity of populations. | | | |

|3. Materials are appropriate for the age, experience, and maturity level of the student for whom it is intended. | | | |

|Materials are free from inappropriate use of profane, obscene, or derogatory language. | | | |

|Materials are free from inappropriate written or visual graphic sexual incidents. | | | |

|Materials stimulate student growth in conceptual thinking, factual knowledge, physical fitness, literary | | | |

|appreciations, aesthetic values, and the development of ethical and moral standards. | | | |

|Materials enrich and support the curriculum, taking into consideration the varied instructional needs, abilities, | | | |

|interests, and maturity levels of the students served. | | | |

Materials adopted in the Auburn School District are appropriate for the age, experience, and maturity level of the student for whom they are intended. Teaching and learning materials should not include obscene language or graphic sexual incidents. Rationale must be presented and appropriate instructional goals included where potentially explicit topics or visual aids are used. Alternate learning opportunities will be provided upon request in the case that an objection is made to the approved instructional material.

Selection of Basic Instructional Materials

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REQUIRED SIGNATURES

FOR APPROVAL of BASIC INSTRUCTIONAL MATERIALS

|APPROVED BY | |SIGNATURE | |DATE |

|1. Director of Student Learning (elementary or secondary) | | | | |

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|2. Assistant Superintendent of K-12 Student Learning | | | | |

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|3. Board of Directors | | | | |

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