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SCCS Book Challenge Form
Please use this form to complete a book challenge consistent with SCCS BOE Policy #8330. Completion of this form is the fist step in the reconsideration process. All the information below must be completed for consideration.
Name
Name
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Checkbox grid
Date
Time
Answer key
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Date
Date
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File upload
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Checkbox grid
Date
Time
Answer key
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Address, Phone, and Email Contact
Address, Phone, and Email Contact
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Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Checkbox grid
Date
Time
Answer key
(0 points)
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Title & Author of the Book/Resource
Title & Author of the Book/Resource
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Date
Time
Answer key
(0 points)
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What is the specific concern with the Book/Resource
What is the specific concern with the Book/Resource
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Date
Time
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Did you read the entire Book/Resource
Did you read the entire Book/Resource
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Date
Time
Yes
No
Add option
or
add "Other"
…
Answer key
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Are there any additional documents or viewpoints on the specific concern?
Are there any additional documents or viewpoints on the specific concern?
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Date
Time
Answer key
(0 points)
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What action are you requesting the committee consider?
What action are you requesting the committee consider?
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Checkbox grid
Date
Time
Answer key
(0 points)
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Link to Sheets
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