Instructional Evaluation Form B
FORM 1040 NB - B
BELLINGHAM PUBLIC SCHOOLS
NON-BASIC INSTRUCTIONAL MATERIALS EVALUATION FORM - B
Use this form for materials that students can select voluntarily.
TITLE:
AUTHOR/PUBLISHER:
COPYRIGHT DATE: PRODUCER: VENDOR:
TYPE OF MEDIA (Book, Videotape, etc.):
IS THIS MATERIAL: _____ Building Library Media Center Collection
_____ District Library Media Collection
_____ Classroom Library
_____ Other:_____________________________
Please indicate your assessment of these materials by checking the appropriate box. If NA, briefly explain.
YES
NO
NA
Instructional Materials shall:
1. Be consistent with District-adopted curriculum and relevant policies, procedures, and regulations.
2. Support and enrich the curriculum, taking into consideration the varied instructional needs, learning styles, abilities and developmental levels of the students served.
3. Stimulate student growth in critical thinking, reasoning, and problem solving and support lifelong learning and workplace application.
4. Be of sufficient variety to meet the diverse needs/characteristics of students and present balanced but differing views of issues, controversial or otherwise, in order that students may develop analytical and decision-making skills.
5. Contribute to the development of self-respect, pride and an appreciation of differences and reflect respect for the worth and dignity of all people.
6. Offer the most appropriate format(s) (including technological, visual and/or auditory components) to support adopted curriculum).
7. Be generally free of gender, race, and religious bias and stereotyping.
8. Readability/comprehensible/developmentally appropriate (grade and interest level).
I have reviewed the material and it meets the above criteria.
REQUESTER: __________________________School: _________________ DATE: ____________
DEPARTMENT CHAIR OR OTHER TEACHER:_______________________ DATE:____________
PRINCIPAL:___________________________________________________DATE:______________
