Request for Reconsideration of Library Materials

 

AUTHOR__________________________________________________________________________________

TITLE________________________________________________________FORMAT______________________  

PUBLISHER___________________________________________________PUBLICATION DATE______________  

Request initiated by_________________________________________________________________________

Address__________________________________________________________________________________  

Zip Code______________Phone__(_____)____________________email__________________________________________  

Is this request made on behalf of:

_______yourself

_______an organization ________________________________________(Name of Organization)

_______a group (please describe)________________________________

What is your objection to the material?  Please be specific, cite pages, etc.   ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________

Have you read/viewed this title in its entirety?_______________________________________________________

If not, what parts?_____________________________________________________________________________

Is there anything positive about the material?_______________________________________________________

Are you aware of the judgment of this material by literary critics, area subject specialists, or education specialists?  Please Provide names of reviewers and citations for reviews, if known. ______________________________________________________________________________________________ ______________________________________________________________________________________________

Can you recommend material of comparable quality or another title that would convey the same perspective of the subject treated? ______________________________________________________________________________________________ ______________________________________________________________________________________________

Date_______________________________ Signature of Patron ________________________________________

Date_______________________________ Received by Staff Member____________________________________