6:260-E1- Curriculum Objection
Please complete this form and return it to the Building Principal who will submit it to the District Complaint Manager. Please print.
Subject area: _________________________________________________
Classroom teacher: ______________________________
Please state, as precisely as possible, the specific curriculum area or program to which the user objects.
How did you become aware of the curriculum area or program?
_____by classroom observation _____by review
_____by word-of-mouth _____ other ______________________
To what in the curriculum area or program do you object? Be specific.
Do you want your child excluded from participation? _____Yes _____ No
In place of participation in the curriculum area, w hat course of study would you recommend for your child?
Complaintant name (please print): ______________________________________
Telephone: ___________________________________
Complaintant represents: _____ Student _____ Parent/guardian of student
_____ Other _________________________________
Complaintant Address: _______________________________________________________________
Signature of Complaintant: __________________________________________________________
Date: ___________________________________
Date Approved: 4/10/2007
