The School Board of Gadsden County - SCHOOLinSITES
The School Board of Gadsden County
"Building A Brighter Future"
REGINALD C. JAMES SUPERINTENDENT OF SCHOOLS
Video Approval Request
35 MARTIN LUTHER KING, JR. BLVD QUINCY, FLORIDA 32351 TEL: (850) 627-9651 FAX: (850) 627-2760
Media materials acquired from any source (e.g. purchase, rental, loan, donation) shall be evaluated and recommended for use with students by appropriate staff of the school. Evaluations shall be based on personal review, professional judgment, or from information in professional library, media, or education selection aids or journals, if available. Careful consideration of materials which might be objectionable to the various mores of the school community will be made in the light of literary merit and the contribution to be made toward the education of the student.
Teacher's Name_______________________________________ Today's Date__________________
Video Title ___________________________________________________________________________
Date(s) to be shown___________________________________ Class Period(s)_________________
This video is from: School's Media Collection ______ Commercial Broadcast ______ Public Library______
Classroom Collection______ Public Broadcast______ Rental Store______
This Video is rated: Not Rated ______
G______
PG______
PG-13______ R______
I verify the following to be true: 1. This video was NOT recorded form a subscription (pay) channel or cable (this includes HBO, Disney, Showtime, etc.) 2. I have previewed this program and I find it suitable for classroom use. 3. The viewing of this video reflected in my lesson plans and is relevant to what is currently being taught in my class.
Describe how the video is an integral part of the lesson. ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________
_____________________________ (Signature)
Approved__________ (Administration) Disapproved_________(Administration)
Date:_________________
ERIC F. HINSON DISTRICT NO. 1 HAVANA, FL 32333
JUDGE B. HELMS, JR. DISTRICT NO. 2
QUINCY, FL 32351
ISAAC SIMMONS, JR. DISTRICT NO. 3
CHATTAHOOCHEE, FL 32324 GREENSBORO, FL 32330
CHARLIE D. FROST DISTRICT NO. 4
GRETNA, FL 32332 QUINCY, FL 32352
BOARD MEETS FOURTH TUESDAY OF EACH MONTH
ROGER P. MILTON DISTRICT NO. 5
QUINCY, FL 32353
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