School Library Materials Review Committee Interest

Purpose: The purpose of this questionnaire is to compile a list of interested participants for a school library Materials Reconsideration Committee and/or Administrative Review Committee for school library materials as defined in the Instructional Services Administrative Regulation (ISAR) 38.1.

Details: By submitting this form, you understand participating in a review committee requires:

Reading each material assigned in its entirety
Working professionally in collaboration with committee members
Attending in-person meeting(s) as needed to complete the process

Understanding: Please understand that by submitting this form it does not guarantee your participation immediately, as committee makeup must meet the criteria in Administrative Regulation IS-38.1. Your information will remain on file for any future needs.

Choose the position that best describes you:*

Teacher with expertise in a specific content area/grade levelSchool LibrarianSchool AdministratorParent representing a school familyCommunity MemberDistrict-Level Director or CoordinatorSchool Improvement Council member within BCSD

Content Area of Expertise*

School Association / Attendance Zone*

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address (to confirm attendance zone)*

Street Address

Street Address Line 2

Postal / Zip Code

Select your interest (select all that apply)*

K-5 Materials6-8 Materials9-12 Materials

Do you need materials available in another language?*

YesNo

Please state the requested language. *

Do you require any accommodations?*

YesNo

Please state the requested accommodation. *

Why are you interested in participating in this process?*

Non-Discrimination. The BCSD affirms the right of all individuals to be treated with respect and to be protected from intimidation, discrimination, physical harm, and/or harassment. The BCSD is committed to nondiscrimination and equal opportunity for all students, parents/legal guardians, staff, visitors, applicants for admission and employment, personnel, and community members who participate or seek to participate in its educational programs or activities. Accordingly, the BCSD does not discriminate against any individual on the basis of race, religion, gender, gender identity, sexual orientation, sex, pregnancy, childbirth, or any related medical conditions, color, physical or mental disability, age (40 or older), ancestry, genetic information, national origin, or any other applicable status protected by Title VI, Title VII, Title IX or any other local, state, or federal law.