Request of Video Approval when Video is not Property of Irving ISD

Name of Teacher:

Name of School:

Date of Request:                               Date of Expected Showing:

Title of Material:

Subject Area:                                   Grade Level:

Objectives and Tie-In with Present Curriculum:

I have found nothing on this subject matter at my building level or Irving ISD.

______ yes    _____ no

COMMENTS:

_________________

Signature of Teacher

_____ Approved       ______ Disapproved

______________________

Signature of Principal

form 576