605.03-E(4) - Request to Prohibit A Student from Accessing Specific Library Materials

Request to prohibit a student from checking out certain library materials to be submitted to the superintendent. Please complete one form per student.

 

REQUEST INITIATED BY                                                                                                      DATE ______________

 

Name ____________________________________________________________________________________________

 

Address __________________________________________________________________________________________

 

City/State ________________________________________ Zip Code ____________ Telephone ___________________

 

Name of affected Student _____________________________________________________________________________

 

Requester's Relationship to Student (must be parent/legal guardian)____________________________________________

 

BOOK OR OTHER PRINTED MATERIAL TO PROHIBIT STUDENT FROM CHECKING OUT:

 

Author _______________________________ Hardcover _______ Paperback __________ Other ___________________

 

Title _____________________________________________________________________________________________

 

Publisher (if known) ________________________________________________________________________________

 

Date of Publication _________________________________________________________________________________

 

MULTIMEDIA MATERIAL TO PROHIBIT STUDENT FROM CHECKING OUT:

 

Title _____________________________________________________________________________________________

 

Producer (if known) ________________________________________________________________________________

 

Type of material (filmstrip, motion picture, etc.) __________________________________________________________

 

_______________________________________________            _____________________________________________
Dated                                                                                                                                   Signature

 

 

 

I.C. Iowa Code Description 

Iowa Code § 279.8 Directors - General Rules - Bonds of Employees 

Iowa Code § 280.14 Uniform School Requirements - Administrators 

Iowa Code § 280.3  Education Program - Attendance Center Requirements 

Iowa Code § 301 Textbooks 

Iowa Code § 279.74  Powers and Duties - Specific Defined Concepts 

 

I.A.C. Iowa Administrative Code Description 

281 I.A.C. 12.3 Administration 

 

Cross References Description 

213 Public Participation in Board Meetings 

 

Approved: 11/21/2022, 7/17/2023, 11/18/2024

Reviewed: 10/21/2026

Revised: