2023-2024 Secondary Supplementary Fiction & Non-Fiction Teacher Nomination Form

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IMPORTANT: Completion of the entire form is required before the committee can process your request. Your responses will be shared with the novels committee. Please be thoughtful in your evaluation of the criteria for adoption.

Some books may be controversial because of violence, use of profanity, or *frankness in dealing with sex; however, when it opens a clearer vision of life, develops understanding of people, or breaks down intolerance, these virtues must be weighed against possible harm a shocking word or passage might do, particularly where taste rather than morals is offended.

*Please be aware of the Utah law (HB 374) regarding sensitive materials; consider whether the text is age appropriate as well as making sure it would not be considered harmful to minors under Utah law.

See the definitions of sensitive materials here: https://bit.ly/3z55lMU

Recommending Teacher *

Would you like to attend a novels meeting to present your rationale for nominating this book?

Yes

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School *

Is the book on the approved list for another grade? If so, use the Appeals Form to have the work approved for a new grade level and/or reviewed again (*Grade levels may reach down without approval (unless there are restrictions) and there must be 3 years between reviews)). *

Title of Work *

Author *

Publisher *

ISBN *

Type of Text *

Lexile Level *

I recently read the entire work with the targeted student audience in mind and I reviewed the Utah Core State Standards text complexity measures below to determine appropriateness for students . Please initial below. *

Brief Plot Summary:

Target grade level & course: (denote if GT/Honors/Core) *

Utah State Core Standards/Objectives the text will be used to teach: (Be specific, use subject area numbers, as the committee will use these to evaluate the text) *

The characters seem real and vital, reacting to situations as they might in real life. (If nonfiction select N/A) *

The text will prepare students for college, career, and citizenship readiness. *

The text lends itself to teaching valuable and significant lessons in the specified content area and/or in life. *

The text stimulates reflection, appreciation, and evaluation – skills inherently important in developing critical thinking and responsible citizenship. *

The text represents appropriate text complexity demands for the grade level and is designed to increase rigor and stamina for students. *

The text has enough depth and richness to stimulate student thinking. *

The text can be read at varying depths of meaning, including arguments, connections, points of view. *

The text allows students to make connections to real life. *

The words could help increase a student’s vocabulary. *

The text helps students appreciate a time period, human experience, or content-specific topic. *

The text is readable, thought-provoking, accurate (content specific), and developmentally appropriate for the recommended level and purpose. *

Is there any moral, ethical, or philosophical part that would cause you to reject the entire work? *

Is there content or language that would cause many parents to reject the work for their student? (Parents can always request their student opt out of a particular novel and read an alternative.) *

If the novel is rejected are there excerpts that could carry the same educational lesson? *

Annotations (comments) you would like to see included along with the title on the list (if approved). (optional)

Explain your rationale for using this work with the class or grade level identified. Include a discussion of the literary merit, value, alignment to Utah Core Standards, and goals for using this text. *

Explain potential challenges due to language, style, tone, theme, or content and how you will address them. *

Identify potential nonfiction/informational text ties to this book. (If it is a non-fiction text, identify literary pairings/ties.) *

Identify cross-curricular ties to this book. *

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