Indivdual+Title+Selection+Form

Teacher: Grade: Title: Author: Pages: Copyright: ISBN: Publisher: Ethnicity & Gender of Author: Ethnicity & Gender of Protagonist: In a brief rationale, please provide the following information relative to the book that you are proposing for approval. //You may attach additional pages as needed.__// **Book Summary** (setting, characters, conflicts, themes, etc.)


 * Explanation of how this title will be used as an instructional resource and its connection to the themes, essential questions, and concepts **


 * Provide an instructional rationale for using this title, including an explanation of literary merit, grade-level appropriateness, and potentially controversial content (i.e., graphic language, violence, or sexual content). **