Request to Show Commercially Purchased Video/DVD

Policy Code: 
IGDC-E2
Adoption Date: 
Tuesday, January 27th, 2009

Request to Show Commercially Purchased Video/DVD

Teacher ___________________________________________Date________________

 

Video/DVD Title ____________________________________Rating ______________

(Please refer to: ICSD Policy IGDC – Video Recorded Media)

 

 

Date to be shown _________________ Class Period ____________________

 

 

Check one of the following viewing applications:

 

_____video/DVD shown in its entirety                  _____appropriate clip previewed

                                                                                        by the teacher named on this form

 

Subject Area ____________________________ Grade Level ______________

 

 

Provide a rationale that supports the connection between the content of the video/DVD and the instructional objectives in the Utah State Core Curriculum:

 

 

 

 

 

 

 

Department Chair__________________________________ Date________________

 

 

Administrator_____________________________________ Date________________