Challenge of Library Materials Form

Policy Code: 
Adoption Date: 
Tuesday, June 17th, 2014

Challenge of Library Materials Form

Date__________ School where challenged material is located_________________________


Name _____________________________________ Phone Number ___________________




Type of material challenged ___________________________________________________


Title ______________________________________________________________________


Author/Producer ____________________________________________________________


What brought this resource to your attention? _____________________________________


Have you read or viewed this material in its entirety? _______________________________


To what do you object? Please cite specifics. 



 What do you want to have happen with this media? 



Signature _____________________________________________ Date _______________


Non-Discrimination Statement

Iron County School District is committed to a policy of equal employment opportunity and does not discriminate in the terms, conditions, or privileges of employment on account of race, age, color, sex, national origin, physical or mental disability, or religion or otherwise as may be prohibited by federal and state law.

School District Office

Hours 8 a.m. - 5 p.m. Mon.- Fri.
2077 W. Royal Hunte Dr.
Cedar City, Utah 84720
PH 435.586.2804  FAX 435.586.2815