Request for Reconsideration of Materials

CITIZEN'S REQUEST FOR RECONSIDERATION OF LIBRARY MATERIALS

 

Author____________________________________________________________________

 

Title______________________________________________________________________

 

Publisher (if known)_________________________________________________________

 

Requestor’s Name___________________________________________________

 

Telephone________________ 

 

Address____________________________________________________

 

City__________________ State _____ Zip____________________________

 

If representing an organization, name of organization: _____________________________                                                             

 

  1. Did you read/view/listen to the entire item? If not, what parts? ________________________________________________________________________________________________________________________________________

 

  1. What do you believe is the theme of this item?
    _______________________________________________________________________________________________________________________________________

 

  1. To what in the item do you object? (Please be specific: cite pages or scenes)

            ____________________________________________________________________

            ____________________________________________________________________

 

  1. What harmful effect do you feel might be/was the result of reading/viewing/listening to this item?
     ___________________________________________________________________

            ___________________________________________________________________

 

  1. Do you believe this item serves any of the following purposes?

Promotes understanding of other cultures and of lifestyles? ___yes  ___no

Promotes discussion of societal issues? ___yes ___no

Provides information about a subject unavailable from another source? ___yes ___no

 

  1. In its place, what item of equal quality would you recommend that 'would convey as valuable a picture and perspectives? ________________________________________________________________________________________________________________________________________
     

Signature of Requestor___________________________________ Date_______________ Please note that we are subject to Freedom of Information Act.  This form will be made available to the media if requested.

Download Policy